Sample records for transit planning process

  1. Iowa in motion : transit system plan : implementing Iowa's state transportation plan

    DOT National Transportation Integrated Search

    1999-09-14

    The Iowa Transit System Plan was developed as a result of the on-going long-range transportation planning process known as Iowa In Motion This planning document, the 1999 Iowa Transit System Plan, is the result of this continuing planning process and...

  2. Factors Related to Successful Transition Planning for Adolescents on the Autism Spectrum

    ERIC Educational Resources Information Center

    Hatfield, Megan; Ciccarelli, Marina; Falkmer, Torbjörn; Falkmer, Marita

    2018-01-01

    Adolescents on the autism spectrum often have difficulties with the transition from high school to post-school activities. Despite this, little is known about the transition planning processes for this group. This study explored predisposing, reinforcing and enabling factors related to the transition planning processes for adolescents on the…

  3. Providing Transition Planning for the Secondary Student through the Community Based Inservice Model.

    ERIC Educational Resources Information Center

    Glasenapp, Gary

    This paper provides an overview of the transition process for students with severe handicaps. For secondary age youths with severe handicaps, explicit and intensive transition planning is necessary to bridge the gap between school experiences and adult life. The transition planning process is designed to build the skills necessary for an…

  4. Promoting Post-School Success for All: The Role of Collaboration in Person-Centered Transition Planning

    ERIC Educational Resources Information Center

    Michaels, Craig A.; Ferrara, Denise L.

    2006-01-01

    Successful collaboration and problem solving are the foundational processes on which meaningful transition plans are constructed. This article discusses the process of planning for the transition from school to adult life for students with disabilities and suggests that person-centered planning is an ideal vehicle for promoting collaboration and…

  5. Improving TOGAF ADM 9.1 Migration Planning Phase by ITIL V3 Service Transition

    NASA Astrophysics Data System (ADS)

    Hanum Harani, Nisa; Akhmad Arman, Arry; Maulana Awangga, Rolly

    2018-04-01

    Modification planning of business transformation involving technological utilization required a system of transition and migration planning process. Planning of system migration activity is the most important. The migration process is including complex elements such as business re-engineering, transition scheme mapping, data transformation, application development, individual involvement by computer and trial interaction. TOGAF ADM is the framework and method of enterprise architecture implementation. TOGAF ADM provides a manual refer to the architecture and migration planning. The planning includes an implementation solution, in this case, IT solution, but when the solution becomes an IT operational planning, TOGAF could not handle it. This paper presents a new model framework detail transitions process of integration between TOGAF and ITIL. We evaluated our models in field study inside a private university.

  6. Individual versus interprofessional team performance in formulating care transition plans: A randomised study of trainees from five professional groups.

    PubMed

    Farrell, Timothy W; Supiano, Katherine P; Wong, Bob; Luptak, Marilyn K; Luther, Brenda; Andersen, Troy C; Wilson, Rebecca; Wilby, Frances; Yang, Rumei; Pepper, Ginette A; Brunker, Cherie P

    2018-05-01

    Health professions trainees' performance in teams is rarely evaluated, but increasingly important as the healthcare delivery systems in which they will practice move towards team-based care. Effective management of care transitions is an important aspect of interprofessional teamwork. This mixed-methods study used a crossover design to randomise health professions trainees to work as individuals and as teams to formulate written care transition plans. Experienced external raters assessed the quality of the written care transition plans as well as both the quality of team process and overall team performance. Written care transition plan quality did not vary between individuals and teams (21.8 vs. 24.4, respectively, p = 0.42). The quality of team process did not correlate with the quality of the team-generated written care transition plans (r = -0.172, p = 0.659). However, there was a significant correlation between the quality of team process and overall team performance (r = 0.692, p = 0.039). Teams with highly engaged recorders, performing an internal team debrief, had higher-quality care transition plans. These results suggest that high-quality interprofessional care transition plans may require advance instruction as well as teamwork in finalising the plan.

  7. Life Span Transitions for a Student with LD: Mother-Daughter Perspectives

    ERIC Educational Resources Information Center

    Cumming, Therese M.; Smedley, Emily N.

    2017-01-01

    Transition planning and processes can greatly influence the quality of schooling transitions for students with learning disabilities. Student-focused planning and family involvement are two integral components of transition planning that do not always receive the emphasis that they deserve. The educational transitions of one student are examined…

  8. Synthesis of Individual Transition Plans: Format and Process.

    ERIC Educational Resources Information Center

    La Mar, Kathleen; Rosenberg, Bill

    This document presents a prototype Individual Transition Plan (ITP) process and format for students receiving special education services. Following an overview of the role of transition, a section on the ITP process discusses pre-meeting activities, conducting an ITP meeting, monitoring and evaluating the ITP meeting, and a rationale for the…

  9. The Circle of Courage[TM] in Transition Planning

    ERIC Educational Resources Information Center

    Espiner, Deborah; Guild, Diane

    2011-01-01

    Young people with learning and behaviour disabilities often leave school without transition planning. When planning does occur, there is generally a discrepancy between the goals of students, parents, and professionals. Students requiring higher levels of support may not even be included in the planning process and transition plans are often…

  10. Short-range transit planning : current practice and a proposed framework

    DOT National Transportation Integrated Search

    1984-06-01

    The research described in this report explored the service and operations : planning process in the transit industry in a two-phase approach. In the first : phase a detailed assessment of current short range transit planning practice was : undertaken...

  11. The Devil is in the Concepts: Lessons Learned from World War II Planning Staffs for Transitioning from Conceptual to Detailed Planning

    DTIC Science & Technology

    2017-05-25

    the planning process. Current US Army doctrine links conceptual planning to the Army Design Methodology and detailed planning to the Military...Decision Making Process. By associating conceptual and detailed planning with doctrinal methodologies , it is easy to regard the transition as a set period...plans into detailed directives resulting in changes to the operational environment. 15. SUBJECT TERMS Design; Army Design Methodology ; Conceptual

  12. Incorporating the Six Core Elements of Health Care Transition Into a Medicaid Managed Care Plan: Lessons Learned From a Pilot Project.

    PubMed

    McManus, Margaret; White, Patience; Pirtle, Robin; Hancock, Catina; Ablan, Michael; Corona-Parra, Raquel

    2015-01-01

    This pediatric-to-adult health care transition pilot project describes the process and results of incorporating the "Six Core Elements of Health Care Transition (2.0)" into a Medicaid managed care plan with a group of 35 18-23 year olds who have chronic mental health, developmental, and complex medical conditions. The pilot project demonstrated an effective approach for customizing and delivering recommended transition services. At the start of the 18-month project, the Medicaid plan was at the basic level (1) of transition implementation of the Six Core Elements with no transition policy, member transition readiness assessment results, health care transition plans of care, updated medical summaries, transfer package for the adult-focused provider, and assurance of transfer completion and consumer feedback. At the conclusion of the pilot project, the plan scored at level 3 on each core element. The primary reason for not scoring at the highest level (4) was because the transition elements have not been incorporated into services for all enrollees within the plan. Future efforts in managed care will benefit from starting the transition process much earlier (ages 12-14), expanding the role of nurse care managers and participating pediatric and adult-focused clinicians in transition, and offering payment incentives to clinicians to implement the Six Core Elements of Health Care Transition. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. The Effects of Using the Transition Planning Inventory and a Structured IEP Process as a Transition Planning Intervention on IEP Meeting Outcomes

    ERIC Educational Resources Information Center

    Rehfeldt, Jason D.; Clark, Gary M.; Lee, Steven W.

    2012-01-01

    This study examined two areas. First, the authors looked at whether secondary individualized education program (IEP) teams who used the "Transition Planning Inventory" (TPI) in conjunction with a structured IEP meeting that based discussions and decisions on TPI data as a planning intervention generated significantly more…

  14. Transition planning for youth with traumatic brain injury: findings from the National Longitudinal Transition Survey-2.

    PubMed

    Wehman, Paul; Chen, Chin-Chih; West, Michael; Cifu, Gabriella

    2014-01-01

    Despite of a growing body of research on vocational and educational difficulties for students with traumatic brain injury (TBI), only limited empirical studies specifically examined how school transition services facilitate later employment outcomes. This exploratory, prospective longitudinal study examined the prevalence of employment and characteristics of transition planning practices that promoted positive school-to-work transition for students with TBI. The participants (n = 200) was drawn from the National Longitudinal Transition Study-2 (NLTS-2), a ten-year study which followed a large nationally representative sample of youth with disabilities through secondary education in into young adulthood. Logistic regression was used to investigate the associations between student, school, and collaborative engagement in the planning process and employment outcomes up to 8 years after high school. Among youth with TBI, 51% held current employment at the time of interview and 73% had been employed at any time after high school. Findings showed that students with TBI who had transition goals for postsecondary education were more likely to be employed at some point since leaving high school. The findings also support active student engagement and leadership in the transition planning process, and the inclusion of outside organizations and individuals. Findings indicate the impact of student, school and adult service agency engagement in transition planning processes. Implications for educational practices and future research are discussed.

  15. Person-Centered Transition Planning.

    ERIC Educational Resources Information Center

    Miner, Craig A.; Bates, Paul E.

    1997-01-01

    Describes a person-centered planning approach for involving students with disabilities and their families in the transition planning process. Components of person-centered planning are discussed, including development of a personal profile, identification of future lifestyle preferences, action steps and responsible parties, and necessary changes…

  16. Five Steps for Developing Effective Transition Plans for High School Students with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Szidon, Katherine; Ruppar, Andrea; Smith, Leann

    2015-01-01

    The Individuals With Disabilities Education Act (IDEA; 2006) requires schools to develop transition plans for students with disabilities, beginning at age 16, if not before. For students with autism spectrum disorder (ASD), the transition planning process includes unique considerations. This article describes five steps for developing effective…

  17. Process Evaluation of the Boost-A™ Transition Planning Program for Adolescents on the Autism Spectrum: A Strengths-Based Approach

    ERIC Educational Resources Information Center

    Hatfield, Megan; Falkmer, Marita; Falkmer, Torbjörn; Ciccarelli, Marina

    2018-01-01

    A process evaluation was conducted to determine the effectiveness, usability, and barriers and facilitators related to the Better OutcOmes & Successful Transitions for Autism (BOOST-A™), an online transition planning program. Adolescents on the autism spectrum (n = 33) and their parents (n = 39) provided feedback via an online questionnaire.…

  18. Outcome-Based School-to-Work Transition Planning for Students with Severe Disabilities.

    ERIC Educational Resources Information Center

    Steere, Daniel E.; And Others

    1990-01-01

    A transition planning process that focuses on quality-of-life outcomes is presented. The process, which views employment not as an outcome but as a vehicle for the attainment of quality of life, involves six steps: orientation, personal profile development, identification of employment outcomes, measurement system, compatibility process, and…

  19. The Effect of Person Centered Planning Activities on the IEP/Transition Planning Process.

    ERIC Educational Resources Information Center

    Miner, Craig A.; Bates, Paul E.

    1997-01-01

    A study of 22 students with mental retardation and their families evaluated the impact of person-centered planning activities on several variables related to a student's individual education program/transition planning meeting. Person-centered planning had a significant effect on parent participation in meetings, but not on discussion of…

  20. Utah's Transition Guidelines for Students at Risk and Students with Mild/Moderate Handicaps.

    ERIC Educational Resources Information Center

    Utah State Board of Education, Salt Lake City.

    These transition guidelines are designed to give Utah school districts direction in planning transition programs for Utah students at risk and/or students with disabilities. The guidelines present best practices in planning to assist these special needs students from school to life in their communities. The five-step process includes planning,…

  1. Begin the Between: Planning for the Transition from High School to Adult Life for Youth with Developmental Disabilities. Second Edition.

    ERIC Educational Resources Information Center

    Matuszak, Trish; And Others

    This guide was developed to provide an overview of the major elements of the transition planning process from school to the adult system of supports and services for youth with developmental disabilities and their families. The workbook format is intended to enable families to be proactive at each stage of the planning process. Initial sections…

  2. Toward late career transitioning: a proposal for academic surgeons.

    PubMed

    Richards, Robin; McLeod, Robin; Latter, David; Keshavjee, Shaf; Rotstein, Ori; Fehlings, Michael G; Ahmed, Najma; Nathens, Avery; Rutka, James

    2017-09-01

    In the absence of a defined retirement age, academic surgeons need to develop plans for transition as they approach the end of their academic surgical careers. The development of a plan for late career transition represents an opportunity for departments of surgery across Canada to initiate a constructive process in cooperation with the key stakeholders in the hospital or institution. The goal of the process is to develop an individual plan for each faculty member that is agreeable to the academic surgeon; informs the surgical leadership; and allows the late career surgeon, the hospital, the division and the department to make plans for the future. In this commentary, the literature on the science of aging is reviewed as it pertains to surgeons, and guidelines for late career transition planning are shared. It is hoped that these guidelines will be of some value to academic programs and surgeons across the country as late career transition models are developed and adopted.

  3. Transitioning between Clerkship Directors

    ERIC Educational Resources Information Center

    Soltys, Stephen M.; Pary, Robert J.; Robinson, Stephen W.; Markwell, Stephen J.

    2011-01-01

    Objective: The authors report on succession-planning for mid-level academic positions. Method: The authors describe the process of succession-planning between clerkship directors and the smooth transition resulting in one case. Results: Gradually transitioning allowed a new faculty person to assume the clerkship-director position with minimal…

  4. Documentation of a Collaborative Transition Planning System: A Curriculum Planning Guide for Students with Mild Disabilities.

    ERIC Educational Resources Information Center

    Jackson, Jeanne

    This report describes and analyzes the transition process used at Savanna High School, Anaheim, California, and documents the unique contribution of the school's Independent Living Skills Transition Center. The report's seven sections focus on: (1) transition definitions and the need for a shared definition among agency personnel; (2) team…

  5. Transition Assessment and Planning for Youth with Severe Intellectual and Developmental Disabilities

    ERIC Educational Resources Information Center

    Carter, Erik W.; Brock, Matthew E.; Trainor, Audrey A.

    2014-01-01

    Although federal law now mandates age-appropriate transition assessment as a key component of high-quality transition planning, little research exists to guide educators on what they might learn when undertaking this process. In this study, the authors examined teacher and parent assessments of the transition-related strengths and needs of 134…

  6. Health Care Transition Planning among Adolescents with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Walsh, Casey; Jones, Barbara; Schonwald, Alison

    2017-01-01

    Improving the health care transition process for youth with autism spectrum disorder (ASD) is critically important. This study was designed to examine the overall national transition core outcome among youth with ASD and each of the component measures of health care transition planning. Fewer than 10% of youth with ASD meet the national transition…

  7. Financial Management for Transit: A Handbook.

    ERIC Educational Resources Information Center

    Heaselden, Mark; And Others

    This handbook is primarily intended to serve as a primer for transit system managers who have not had any formal financial education through college classes, professional development programs, or extensive on-the-job programs. The following topics are covered: financial planning techniques for transit (beginning the financial planning process,…

  8. Partnership Bound: Using MAPS with Transitioning Students and Families from All Backgrounds

    ERIC Educational Resources Information Center

    Haines, Shana J.; Francis, Grace L.; Shepherd, Katharine G.; Ziegler, Meg; Mabika, Goma

    2018-01-01

    The McGill Action Planning System (also referred to as Making Action Plans or MAPS) is a supportive, strengths-based process that enables teams to understand each other and work together to support students in achieving their dreams. This process can work very well with all transitioning students with disabilities and their families, including…

  9. Multi-Informant Assessment of Transition-Related Skills and Skill Importance in Adolescents with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Hume, Kara; Dykstra Steinbrenner, Jessica; Sideris, John; Smith, Leann; Kucharczyk, Suzanne; Szidon, Kate

    2018-01-01

    Adolescents with autism spectrum disorder have limited participation in the transition planning process, despite the link between active participation and an improvement in postsecondary education and employment outcomes. The Secondary School Success Checklist was designed to support transition planning for adolescents with autism spectrum…

  10. Student Engagement and Leadership of the Transition Planning Process

    ERIC Educational Resources Information Center

    Martin, James E.; Williams-Diehm, Kendra

    2013-01-01

    The Council for Exceptional Children's Division on Career Development and Transition (DCDT) has been a longstanding leader and advocate in the field of secondary education for students with disabilities. This paper traces the history of student engagement in transition planning primarily through the lens of DCDT's journal "Career…

  11. Medical care transition planning and dental care use for youth with special health care needs during the transition from adolescence to young adulthood: a preliminary explanatory model

    PubMed Central

    Chi, Donald L.

    2013-01-01

    Objectives To test the hypotheses that youth with special health care needs (YSHCN) with a medical care transition plan are more likely to use dental care during the transition from adolescence to young adulthood and that different factors are associated with dental utilization for YSHCN with and YSHCN without functional limitations. Methods National Survey of CSHCN (2001) and Survey of Adult Transition and Health (2007) data were analyzed (N=1,746). The main predictor variable was having a medical care transition plan, defined as having discussed with a doctor how health care needs might change with age and having developed a transition plan. The outcome variable was dental care use in 2001 (adolescence) and 2007 (young adulthood). Multiple variable Poisson regression models with robust standard errors were used to estimate covariate-adjusted relative risks (RR). Results About 63% of YSHCN had a medical care transition plan and 73.5% utilized dental care. YSHCN with a medical care transition plan had a 9% greater relative risk (RR) of utilizing dental care than YSHCN without a medical care transition plan (RR:1.09; 95% CI:1.03–1.16). In the models stratified by functional limitation status, having a medical care transition plan was significantly associated with dental care use, but only for YSHCN without functional limitations (RR:1.11; 95% CI:1.04–1.18). Conclusions Having a medical care transition plan is significantly associated with dental care use, but only for YSHCN with no functional limitation. Dental care should be an integral part of the comprehensive health care transition planning process for all YSHCN. PMID:23812799

  12. Integrating transportation/transit planning in the overall planning process.

    DOT National Transportation Integrated Search

    2009-07-01

    The purpose of this report is to produce recommendations that will foster more transportation : and land use integration throughout the overall planning process in Delaware. A trend of : population growth and decentralization necessitates a proactive...

  13. Parental Insights on the Effects of the Secondary Transition Planning Process on the Postsecondary Outcomes of Graduates with Disabilities

    ERIC Educational Resources Information Center

    Miller-Warren, Vickie

    2016-01-01

    Research shows that transition planning for students with disabilities is an ongoing process that requires the collaboration of students, families, and teachers to ensure a successful adult life for students after graduation (Clark, 1996; Clark & Unruh, 2010; Gil, 2007; Kellems & Morningstar, 2010). This study examined the insights of the…

  14. "Leaps of Faith": Parents' and Professionals' Viewpoints on Preparing Adolescents on the Autism Spectrum for Leaving School

    ERIC Educational Resources Information Center

    Hatfield, Megan; Falkmer, Marita; Falkmer, Torbjorn; Ciccarelli, Marina

    2017-01-01

    Adolescents on the autism spectrum experience difficulty transitioning from secondary school to post-school activities, often due to transition planning processes that do not meet their unique needs. This study identified parents' and professionals' viewpoints on transition planning for adolescents on the autism spectrum. Interviews were completed…

  15. Integrating intelligent transportation systems within the transportation planning process : an interim handbook.

    DOT National Transportation Integrated Search

    1998-01-01

    The Final Rule on Statewide Planning and Metropolitan Planning issued by the Federal Highway Administration (FHWA) and Federal Transit Administration (FTA) in October, 1993 established revised and more comprehensive processes for metropolitan and sta...

  16. A Qualitative Study of Specialist Schools' Processes of Eliciting the Views of Young People with Autism Spectrum Disorders in Planning Their Transition to Adulthood

    ERIC Educational Resources Information Center

    Fayette, Rainart; Bond, Caroline

    2018-01-01

    Government legislation and research literature highlight the importance of the participation of pupils with autistic spectrum disorders (ASD) in planning for their transition to adulthood. However, effective processes which enable their participation are under-researched. In this study, nine teaching staff from two specialist schools in the…

  17. The Impact of Professional Development on the Quality of the Transition Components of IEPs

    ERIC Educational Resources Information Center

    Flannery, K. Brigid; Lombardi, Allison; Kato, Mimi McGrath

    2015-01-01

    Under the Individuals With Disabilities Education Act (IDEA), transition needs and services are to be discussed as part of the Individual Education Program (IEP) planning process, and decisions based on students' future goals are to be documented in the IEP. These transition requirements were included in IDEA in order to plan with the student,…

  18. [Transition from pediatric to adult health care services for adolescents with chronic diseases: Recommendations from the Adolescent Branch from Sociedad Chilena de Pediatría].

    PubMed

    Zubarew, Tamara; Correa, Loreto; Bedregal, Paula; Besoain, Carolina; Reinoso, Alejandro; Velarde, Macarena; Valenzuela, María Teresa; Inostroza, Carolina

    2017-01-01

    The Adolescent Branch from Sociedad Chilena de Pediatría supports the implementation of planned programs for transition from child to adult health centers, oriented to adolescents with chronic diseases, in order to ensure an appropriate follow-up and a high-quality health care. Recommendations for care are set out in the FONIS and VRI PUC project carried out by the Division of Pediatrics of the Universidad Católica de Chile: “Transition process from pediatric to adult services: perspectives of adolescents with chronic diseases, caregivers and health professionals”, whose goal was to describe the experience, barriers, critical points, and facilitators in the transition process. Critical points detected in this study were: existence of a strong bond between adolescents, caregivers and the pediatric team, resistance to transition, difficulty developing autonomy and self-management among adolescents; invisibility of the process of adolescence; and lack of communication between pediatric and adult team during the transfer. According to these needs, barriers and critical points, and based on published international experiences, recommendations are made for implementation of gradual and planned transition processes, with emphasis on the design and implementation of transition policies, establishment of multidisciplinary teams and transition planning. We discuss aspects related to coordination of teams, transfer timing, self-care and autonomy, transition records, adolescent and family participation, need for emotional support, ethical aspects involved, importance of confidentiality, need for professional training, and the need for evaluation and further research on the subject.

  19. Articulating Roles and Responsibilities in the Transition Planning Process: A Practice Aimed at Figuring out How to Work Together. Transitions

    ERIC Educational Resources Information Center

    Murphy, Marianne; Golden, Thomas

    2004-01-01

    It is clear that the intention of the Rehabilitation Act of 1973 and the Individual with Disabilities Education Act of 1997 require both the Education Agency and the Vocational Rehabilitation Agency (VESID, in New York State) to jointly participate in the development of transition plans for students with disabilities as they prepare for employment…

  20. Students with Reading and Writing Challenges: Using Informal Assessment to Assist in Planning for the Transition to Adult Life

    ERIC Educational Resources Information Center

    Sitlington, Patricia L.

    2008-01-01

    The transition to adult life for students with reading and writing challenges is an area that is not often addressed. The purpose of this article is to relate the informal assessment process to the broader context of high stakes assessment, high school exit exams, diploma options, and transition planning; identify the competencies needed for a…

  1. Guidelines for Transitional Education Plan Preparation

    ERIC Educational Resources Information Center

    Lattanzio, Raphaëlle Martinez; Bethke, Lynne; Haas, Anna; Perrier, Janne Kjaersgaard; De Grauwe, Anton; Sigsgaard, Morten; Bird, Lyndsay; Coury, Diane; Gay, Dorian; MacEwan, Leonora; Seeger, Anna

    2016-01-01

    The "Guidelines for the Transitional Education Plan Preparation" are the result of an extensive consultation process and the product of fruitful guidance and contributions from key partners active in the field of education in emergencies and protracted crises. The new global education agenda 2030 places strong emphasis on countries…

  2. Emotional Behavior Disorders: The Lost Population of Special Education

    ERIC Educational Resources Information Center

    Bounds, Quintella

    2012-01-01

    The primary purpose of this study was to determine if there is a significant difference in postsecondary completion rates between students with Emotional Behavior Disorder (EBD) who were involved with their own postsecondary transition planning processes, whose parents were involved in the transition planning, and who received services or…

  3. FTA multi-year research program plan (FY 2009 - FY 2013).

    DOT National Transportation Integrated Search

    2008-09-01

    The Multi-Year Research Program Plan (Program Plan), prepared by the Federal Transit Administrations (FTA) Office of : Research, Demonstration, and Innovation (TRI), is part of FTAs strategic planning process. It provides descriptive : summarie...

  4. Overcoming challenges to sustainable immunization financing: early experiences from GAVI graduating countries

    PubMed Central

    Hecht, Robert; Kaddar, Miloud; Schmitt, Sarah; Ryckman, Theresa; Cornejo, Santiago

    2015-01-01

    Over the 5-year period ending in 2018, 16 countries with a combined birth cohort of over 6 million infants requiring life-saving immunizations are scheduled to transition (graduate) from outside financial and technical support for a number of their essential vaccines. This support has been provided over the past decade by the GAVI Alliance. Will these 16 countries be able to continue to sustain these vaccination efforts? To address this issue, GAVI and its partners are supporting transition planning, entailing country assessments of readiness to graduate and intensive dialogue with national officials to ensure a smooth transition process. This approach was piloted in Bhutan, Republic of Congo, Georgia, Moldova and Mongolia in 2012. The pilot showed that graduating countries are highly heterogeneous in their capacity to assume responsibility for their immunization programmes. Although all possess certain strengths, each country displayed weaknesses in some of the following areas: budgeting for vaccine purchase, national procurement practices, performance of national regulatory agencies, and technical capacity for vaccine planning and advocacy. The 2012 pilot experience further demonstrated the value of transition planning processes and tools. As a result, GAVI has decided to continue with transition planning in 2013 and beyond. As the graduation process advances, GAVI and graduating countries should continue to contribute to global collective thinking about how developing countries can successfully end their dependence on donor aid and achieve self-sufficiency. PMID:24510369

  5. Multi-informant assessment of transition-related skills and skill importance in adolescents with autism spectrum disorder.

    PubMed

    Hume, Kara; Dykstra Steinbrenner, Jessica; Sideris, John; Smith, Leann; Kucharczyk, Suzanne; Szidon, Kate

    2018-01-01

    Adolescents with autism spectrum disorder have limited participation in the transition planning process, despite the link between active participation and an improvement in postsecondary education and employment outcomes. The Secondary School Success Checklist was designed to support transition planning for adolescents with autism spectrum disorder by incorporating their own assessments of strengths, skill deficits, and prioritization for instruction along with those of their parents and teachers across multiple skill domains. Findings from more than 500 adolescents with autism spectrum disorder across the United States indicate discrepancies between adolescent, teacher, and parent ratings of skills highlighting the importance of the inclusion of multiple perspectives in transition planning. Although ratings varied, agreement between adolescents with autism spectrum disorder, parents, and teachers across the highest and lowest rated skills suggests the need to broaden the focus on critical transition skills to include problem-solving, planning for life after high school, and self-advocacy.

  6. Building livable communities with transit : planning, developing and implementing community-sensitive transit

    DOT National Transportation Integrated Search

    1999-09-01

    This booklet presents some of the successes of the community-sensitive transportation facility development process. Although a comprehensive process is described here, not every project involves the full range of steps. By applying the techniques out...

  7. Opportunities lost and found: experiences of patients with cerebral palsy and their parents transitioning from pediatric to adult healthcare.

    PubMed

    DiFazio, Rachel L; Harris, Marie; Vessey, Judith A; Glader, Laurie; Shanske, Susan

    2014-01-01

    To describe and define the experiences of adults with cerebral palsy (CP) and parents of adults with CP who have been involved in a transfer of physiatry care from pediatric to adult healthcare and to explore their experiences more generally in the transition from pediatric to adult services. A qualitative research approach was used. Semi-structured focus group interviews were conducted with adults with CP (n=5) and parents of adults with CP (n=8) to explore the health care transition (HCT) process from pediatric to adult healthcare. Four key content domains were used to facilitate the focus groups; 1) Transition Planning, 2) Accessibility of Services, 3) Experience with Adult Providers, and 4) Recommendations for Improving the Transition Process. Conventional content analysis was used to analyze the data. Four themes emerged from the focus groups; Lost in Transition, Roadmap to Care, List of None, and One Stop Shopping. Participants felt lost in the HCT process, requested a transparent transition plan, expressed concern regarding access to adult healthcare, and made recommendations for improvements. Challenges in transitioning from pediatric to adult health care were identified by all participants and several strategies were recommended for improvement.

  8. The Global Polio Eradication Initiative: Progress, Lessons Learned, And Polio Legacy Transition Planning.

    PubMed

    Cochi, Stephen L; Hegg, Lea; Kaur, Anjali; Pandak, Carol; Jafari, Hamid

    2016-02-01

    The world is closer than ever to achieving global polio eradication, with record-low polio cases in 2015 and the impending prospect of a polio-free Africa. Tens of millions of volunteers, social mobilizers, and health workers have participated in the Global Polio Eradication Initiative. The program contributes to efforts to deliver other health benefits, including health systems strengthening. As the initiative nears completion after more than twenty-five years, it becomes critical to document and transition the knowledge, lessons learned, assets, and infrastructure accumulated by the initiative to address other health goals and priorities. The primary goals of this process, known as polio legacy transition planning, are both to protect a polio-free world and to ensure that investments in polio eradication will contribute to other health goals after polio is completely eradicated. The initiative is engaged in an extensive transition process of consultations and planning at the global, regional, and country levels. A successful completion of this process will result in a well-planned and -managed conclusion of the initiative that will secure the global public good gained by ending one of the world's most devastating diseases and ensure that these investments provide public health benefits for years to come. Project HOPE—The People-to-People Health Foundation, Inc.

  9. Transitions for Students with Intellectual Disability and/or Autism Spectrum Disorder: Carer and Teacher Perspectives

    ERIC Educational Resources Information Center

    Strnadova, Iva; Cumming, Therese M.; Danker, Joanne

    2016-01-01

    Schooling transitions are often challenging experiences for students with intellectual disability and/or autism spectrum disorder (ID/ASD), their families, and their teachers. Transition processes, particularly planning, can facilitate successful transitions from primary to secondary schools, and to postschool settings. Bronfenbrenner's ecological…

  10. Implementing Student-Centered Transition in Maine Schools: Guidelines for Developing Procedures and Practices.

    ERIC Educational Resources Information Center

    University of Southern Maine, Portland. Human Services Development Inst.

    A deliberate, systematic approach is presented for assisting students with handicaps through the transition process from school to adult life. The key elements of transition are identified as: longitudinal vocational and independent living skills training; cooperative and interagency transition planning; parent, student, employer, and…

  11. Financially Constrained Transportation Planning and Programming Process

    DOT National Transportation Integrated Search

    1997-03-01

    This case study report is intended to provide metropolitan planning organizations (MPOs), state departments of transportation and transit agencies with a greater understanding of the important role that financial information plays in the planning and...

  12. 49 CFR 611.7 - Relation to planning and project development processes.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .... (ii) Two years after the project opens for revenue service, the grantee shall collect the “after” data... the project. (i) The plan shall provide for: Collection of “before” data on the current transit system... project; collection of “after” data on the transit system two years after opening of the new start project...

  13. 49 CFR 659.23 - System security plan: contents.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false System security plan: contents. 659.23 Section 659... State Oversight Agency § 659.23 System security plan: contents. The system security plan must, at a... system security plan; and (e) Document the rail transit agency's process for making its system security...

  14. Planning the data transition of a VLDB: a case study

    NASA Astrophysics Data System (ADS)

    Finken, Shirley J.

    1997-02-01

    This paper describes the technical and programmatic plans for moving and checking certain data from the IDentification Automated Services (IDAS) system to the new Interstate Identification Index/Federal Bureau of Investigation (III/FBI) Segment database--one of the three components of the Integrated Automated Fingerprint Identification System (IAFIS) being developed by the Federal Bureau of Investigation, Criminal Justice Information Services Division. Transitioning IDAS to III/FBI includes putting the data into an entirely new target database structure (i.e. from IBM VSAM files to ORACLE7 RDBMS tables). Only four IDAS files were transitioned (CCN, CCR, CCA, and CRS), but their total estimated size is at 500 Gb of data. Transitioning of this Very Large Database is planned as two processes.

  15. [The transition process from paediatric to adult services: A perspective from hospitalised adolescent sufferers of chronic diseases].

    PubMed

    Inostroza Quezada, Carolina; Correa Venegas, María Loreto; Besoain Arrau, Carolina; Reinoso Medinelli, Alejandro; Velarde Lizama, Macarena; Valenzuela Mujica, María Teresa; Bedregal García, Paula; Zubarew Gurtchin, Tamara

    2016-01-01

    Chronic illnesses during adolescence are a big challenge for the patient, his or her family, and health care providers. The transition from paediatric health services to adult health services involves a programmed and planned transfer process of adolescent sufferers of chronic illnesses, in order to maintain a high quality of life and bio-psycho-social development. There is currently no transition model. The objective of the study is to understand the transition process from the perspective of hospitalised adolescents to collaborate towards the design of a model that meets the needs studied. Semi-structured interviews with 13 adolescent sufferers of chronic illnesses, hospitalised in two healthcare centres in Santiago, Chile, in one analytical-relational study, supported by qualitative methodology. In the analysis, 5 major themes stand out: experience of living with the illness, the importance of the doctor-patient relationship, the concept of limited autonomy to the pharmacology, the absence of the transition process as such, and the identification of barriers and needs for an adequate transition. This study is new in Chile in that it explores the phenomenom of the transition of adolescents with chronic illnesses. It emphasises the need to reinforce the concept of self-care and autonomy from early stages of care, and the importance of early planning of a healthy transition process, in accordance to the detected needs of the adolescents themselves. Copyright © 2015. Publicado por Elsevier España, S.L.U.

  16. Transit at the Table III : A Guide to Effective Participation in Statewide Decisionmaking for Transit Agencies in Non-Urbanized Areas.

    DOT National Transportation Integrated Search

    2011-09-30

    This report draws upon eight State case studies to identify processes, experiences, and results of transit participation in statewide planning with a focus on non-urbanized or rural areas. Transit at the Table III is intended as a resource for organi...

  17. The Role of Independent Therapy Providers in the Transition to Preschool

    ERIC Educational Resources Information Center

    Teeters-Myers, C.

    2007-01-01

    The complexity of the early intervention to preschool transition process has been highlighted in the early childhood literature; however, the role of independent therapy providers in transition planning has not been described specifically. The present study used survey research methods to gather information about the transition practices of 103…

  18. Innovative state and local planning for coordinated transportation.

    DOT National Transportation Integrated Search

    2002-02-01

    The study examines seven specific planning strategies that can be used as part of a flexible regional planning process for coordinating transportation services of health and human service and transit agencies. The DOT/DHHS Coordinating Council on Acc...

  19. Collaborative Assessment for Employment Planning: Transition Assessment and the Discovery Process

    ERIC Educational Resources Information Center

    Stevenson, Bradley S.; Fowler, Catherine H.

    2016-01-01

    As the Workforce Innovation and Opportunities Act (WIOA) is implemented across the nation, special education and vocational rehabilitation professionals will need to increase their level of collaboration. One area of potential collaboration is assessment--transition assessment for the field of special education and the discovery process for adult…

  20. Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study.

    PubMed

    Singh, Swaran P; Paul, Moli; Ford, Tamsin; Kramer, Tami; Weaver, Tim; McLaren, Susan; Hovish, Kimberly; Islam, Zoebia; Belling, Ruth; White, Sarah

    2010-10-01

    Many adolescents with mental health problems experience transition of care from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS). As part of the TRACK study we evaluated the process, outcomes and user and carer experience of transition from CAMHS to AMHS. We identified a cohort of service users crossing the CAMHS/AMHS boundary over 1 year across six mental health trusts in England. We tracked their journey to determine predictors of optimal transition and conducted qualitative interviews with a subsample of users, their carers and clinicians on how transition was experienced. Of 154 individuals who crossed the transition boundary in 1 year, 90 were actual referrals (i.e. they made a transition to AMHS), and 64 were potential referrals (i.e. were either not referred to AMHS or not accepted by AMHS). Individuals with a history of severe mental illness, being on medication or having been admitted were more likely to make a transition than those with neurodevelopmental disorders, emotional/neurotic disorders and emerging personality disorder. Optimal transition, defined as adequate transition planning, good information transfer across teams, joint working between teams and continuity of care following transition, was experienced by less than 5% of those who made a transition. Following transition, most service users stayed engaged with AMHS and reported improvement in their mental health. For the vast majority of service users, transition from CAMHS to AMHS is poorly planned, poorly executed and poorly experienced. The transition process accentuates pre-existing barriers between CAMHS and AMHS.

  1. Overcoming challenges to sustainable immunization financing: early experiences from GAVI graduating countries.

    PubMed

    Saxenian, Helen; Hecht, Robert; Kaddar, Miloud; Schmitt, Sarah; Ryckman, Theresa; Cornejo, Santiago

    2015-03-01

    Over the 5-year period ending in 2018, 16 countries with a combined birth cohort of over 6 million infants requiring life-saving immunizations are scheduled to transition (graduate) from outside financial and technical support for a number of their essential vaccines. This support has been provided over the past decade by the GAVI Alliance. Will these 16 countries be able to continue to sustain these vaccination efforts? To address this issue, GAVI and its partners are supporting transition planning, entailing country assessments of readiness to graduate and intensive dialogue with national officials to ensure a smooth transition process. This approach was piloted in Bhutan, Republic of Congo, Georgia, Moldova and Mongolia in 2012. The pilot showed that graduating countries are highly heterogeneous in their capacity to assume responsibility for their immunization programmes. Although all possess certain strengths, each country displayed weaknesses in some of the following areas: budgeting for vaccine purchase, national procurement practices, performance of national regulatory agencies, and technical capacity for vaccine planning and advocacy. The 2012 pilot experience further demonstrated the value of transition planning processes and tools. As a result, GAVI has decided to continue with transition planning in 2013 and beyond. As the graduation process advances, GAVI and graduating countries should continue to contribute to global collective thinking about how developing countries can successfully end their dependence on donor aid and achieve self-sufficiency. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  2. DOE Office of Scientific and Technical Information (OSTI.GOV)

    None

    The Office of Legacy Management (LM) is an integral part of the U.S. Department of Energy’s (DOE’s) strategy to ensure that legacy liabilities of former nuclear weapons production sites are properly managed following the completion of environmental cleanup activities. LM will work with each site using an integrated team approach to ensure a successful transition. Part of this process will include transition of Government records and information. The Office of Legacy Management Information and Records Management Transition Guidance focuses on LM’s goal to preserve and protect legacy records and information. This guidance document establishes a framework for the transfer ofmore » records management responsibilities for sites transferring to LM. It describes the requirements, responsibilities, and procedures for the efficient and cost-effective transfer of custody, ownership, and management of records and other information products from the transfer site to LM. Records management practices are critical to the functions of Federal agencies because records provide information about, or evidence of, the organization, functions, policies, decisions, procedures, operations, or other activities. Therefore, the information generated by an agency is created, maintained, and dispositioned through records management processes that ensure the appropriate preservation and retrieval of essential information. Because of their intrinsic value, best practices to preserve information and records should be utilized when records are transferred from one organization to another. As the transfer program completes cleanup activities at closure sites, a transitional process will facilitate the transparent shift in the management of site records activities to LM. The roles and responsibilities of the transfer site and/or program and LM described in this document are a necessary foundation for cooperation and coordination and are essential to the successful transition of records and information responsibilities. The DOE Office of the Chief Information Officer (OCIO) has a central role in DOE records management by providing guidance, expertise, and coordination to all DOE offices and organizations and coordination with the National Archives and Records Administration (NARA). LM and the transfer site will complete an integrated transition plan which will integrate all transition elements including information and records. As part of the overall transition plan, an Information and Records Transition Plan will be developed consistent with the integrated transition plan for the site transfer and included as an attachment. The Information and Records Management Transition Plan will be developed to assist both organizations in organizing the tasks; establishing a timetable and milestones for their completion; and identifying manpower, funding and other resources that will be needed to complete the ownership transfer. In addition, the plan will provide a valuable exchange of institutional knowledge that will assist LM in meeting the obligations of responsibly managing legacy records. Guidance for the development of the plan is included in this document. Records management concerns that may arise during site closure, such as management support, contract language and agreements, interactions with the OCIO and NARA, resource and budget considerations, and procedures to safeguard records are addressed. Guidelines and criteria for records management transition activities are also provided. These include LM expectations for the inventory, scheduling, and disposition of records; the management and transfer of electronic files, including databases and software; records finding aids, indices, and recordkeeping systems; and the process for the transfer of hard copy and electronic records to LM.« less

  3. Medical Devices Transition to Information Systems: Lessons Learned

    PubMed Central

    Charters, Kathleen G.

    2012-01-01

    Medical devices designed to network can share data with a Clinical Information System (CIS), making that data available within clinician workflow. Some lessons learned by transitioning anesthesia reporting and monitoring devices (ARMDs) on a local area network (LAN) to integration of anesthesia documentation within a CIS include the following categories: access, contracting, deployment, implementation, planning, security, support, training and workflow integration. Areas identified for improvement include: Vendor requirements for access reconciled with the organizations’ security policies and procedures. Include clauses supporting transition from stand-alone devices to information integrated into clinical workflow in the medical device procurement contract. Resolve deployment and implementation barriers that make the process less efficient and more costly. Include effective field communication and creative alternatives in planning. Build training on the baseline knowledge of trainees. Include effective help desk processes and metrics. Have a process for determining where problems originate when systems share information. PMID:24199054

  4. 23 CFR 450.306 - Scope of the metropolitan transportation planning process.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... transportation improvements and State and local planned growth and economic development patterns; (6) Enhance the... transportation system development, land use, employment, economic development, human and natural environment, and... CFR part 940. (g) Preparation of the coordinated public transit-human services transportation plan, as...

  5. B Plant Complex preclosure work plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    ADLER, J.G.

    1999-02-02

    This preclosure work plan describes the condition of the dangerous waste treatment storage, and/or disposal (TSD) unit after completion of the B Plant Complex decommissioning Transition Phase preclosure activities. This description includes waste characteristics, waste types, locations, and associated hazards. The goal to be met by the Transition Phase preclosure activities is to place the TSD unit into a safe and environmentally secure condition for the long-term Surveillance and Maintenance (S&M) Phase of the facility decommissioning process. This preclosure work plan has been prepared in accordance with Section 8.0 of the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement)more » (Ecology et al. 1996). The preclosure work plan is one of three critical Transition Phase documents, the other two being: B Plant End Points Document (WHC-SD-WM-TPP-054) and B Plant S&M plan. These documents are prepared by the U.S. Department of Energy, Richland Operations Office (DOE-RL) and its contractors with the involvement of Washington State Department of Ecology (Ecology). The tanks and vessels addressed by this preclosure work plan are limited to those tanks end vessels included on the B Plant Complex Part A, Form 3, Permit Application (DOE/RL-88-21). The criteria for determining which tanks or vessels are in the Part A, Form 3, are discussed in the following. The closure plan for the TSD unit will not be prepared until the Disposition Phase of the facility decommissioning process is initiated, which follows the long-term S&M Phase. Final closure will occur during the Disposition Phase of the facility decommissioning process. The Waste Encapsulation Storage Facility (WESF) is excluded from the scope of this preclosure work plan.« less

  6. Beyond Traditional Outcome-Based Education.

    ERIC Educational Resources Information Center

    Spady, William G.; Marshall, Kit J.

    1991-01-01

    Transitional outcome-based education lies in the twilight zone between traditional subject matter curriculum structures and planning processes and the future-role priorities inherent in transformational OBE. Districts go through incorporation, integration, and redefinition stages in implementing transitional OBE. Transformational OBE's guiding…

  7. The Future of Electricity Resource Planning

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kahrl, Fredrich; Mills, Andrew; Lavin, Luke

    Electricity resource planning is the process of identifying longer-term investments to meet electricity reliability requirements and public policy goals at a reasonable cost. Resource planning processes provide a forum for regulators, electric utilities, and electricity industry stakeholders to evaluate the economic, environmental, and social benefits and costs of different investment options. By facilitating a discussion on future goals, challenges and strategies, resource planning processes often play an important role in shaping utility business decisions. Resource planning emerged more than three decades ago in an era of transition, where declining electricity demand and rising costs spurred fundamental changes in electricity industrymore » regulation and structure. Despite significant changes in the industry, resource planning continues to play an important role in supporting investment decision making. Over the next two decades, the electricity industry will again undergo a period of transition, driven by technological change, shifting customer preferences and public policy goals. This transition will bring about a gradual paradigm shift in resource planning, requiring changes in scope, approaches and methods. Even as it changes, resource planning will continue to be a central feature of the electricity industry. Its functions — ensuring the reliability of high voltage (“bulk”) power systems, enabling oversight of regulated utilities and facilitating low-cost compliance with public policy goals — are likely to grow in importance as the electricity industry enters a new period of technological, economic and regulatory change. This report examines the future of electricity resource planning in the context of a changing electricity industry. The report examines emerging issues and evolving practices in five key areas that will shape the future of resource planning: (1) central-scale generation, (2) distributed generation, (3) demand-side resources, (4) transmission and (5) uncertainty and risk management. The analysis draws on a review of recent resource plans for 10 utilities that reflect some of the U.S. electricity industry’s extensive diversity.« less

  8. Tying Resource Allocation and TQM into Planning and Assessment Efforts.

    ERIC Educational Resources Information Center

    Mullendore, Richard H.; Wang, Li-Shing

    1996-01-01

    Describes the evolution of a model, developed by student affairs officials, which outlines a planning process for implementing Total Quality Management. Presents step-by-step instructions for the model's deployment and discusses such issues as transitions, planning forms, goals, and professional and personal growth needs. (RJM)

  9. User-Side Subsidies for Fixed Route Transit in Danville, Illinois : Phase 2.

    DOT National Transportation Integrated Search

    1978-08-01

    This report presents the technical portion of an Evaluation Plan for the Danville, Illinois User-side Subsidy for Fixed-Route Transit demonstration project. Uner the project, the City of Danville will initiate competitive bidding processes for short-...

  10. Impacts Assessment of Integrated Dynamic Transit Operations: Evaluation Plan and Addendum

    DOT National Transportation Integrated Search

    2016-04-01

    This document details the process that the Volpe Center intended to follow in evaluating the impacts of the Integrated Dynamic Transit Operations (IDTO) prototype demonstration in Columbus, Ohio and Central Florida. The document also includes the add...

  11. Impact Assessment of Integrated Dynamic Transit Operations Evaluation Plan and Addendum.

    DOT National Transportation Integrated Search

    2016-01-04

    This document details the process that the Volpe Center intended to follow in evaluating the impacts of the Integrated Dynamic Transit Operations (IDTO) prototype demonstration in Columbus, Ohio and Central Florida. The document also includes the add...

  12. The Future Is around the Corner! A Parent Handbook for Successful Transition.

    ERIC Educational Resources Information Center

    1996

    This handbook for parents describes the transition planning process for youth with disabilities. The handbook is divided into four sections: an overview of the who, what, where, when, why, and how of transition; consideration and evaluation of future options for the young person; home, school, and community activities that can be immediately…

  13. Transition and closeout of the Fernald Closure Project

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bilson, H.E.; Terry, T.; Reising, J.

    The U.S. Department of Energy (DOE) and Fluor Fernald have completed the majority of the cleanup of the Fernald Site. The over 1,000 acre complex for processing uranium has been demolished and soil contamination has been remediated. With acres of wetlands and prairies replacing the buildings and waste pits. At the end of the project the focus shifted to developing demonstrating the completion of the project and the contract, as well as ensuring a smooth transition of the facility from the DOE's Environmental Management (EM) Program to the DOE's Legacy Management (LM) Program. Working with the DOE, each portion ofmore » the closure contract was examined for specific closure definition. From this negotiation effort the Comprehensive Exit and Transition Plan (CE/T Plan) was written. The CE/T Plan is intended to assist DOE in the analysis that the site is ready for transfer into long-term stewardship (LTS) (also referred to as legacy management) and that Fluor Fernald, Inc. has satisfactorily completed the closure contract statement of work elements. Following the Lessons Learned from the closure of the Rocky Flats Site, the DOE's Legacy Management Program created a matrix of Transition Elements required to ensure adequate information was in place to allow the new prime contractor to perform the Legacy Management scope of work. The transition plan included over 1,000 elements broken down into functional areas and relied on specific Fernald Responsibility Transition Packages (RTPs) for detailed transition actions. The template for Closure and Transition Planning used at the Fernald Site was developed using the best Lessons Learned from across the DOE Complex. The template could be used for other sites, and lessons learned from this closure and transition will be appropriate for all closure projects. (authors)« less

  14. Change Creation: The Rest of the Planning Story.

    ERIC Educational Resources Information Center

    Lick, Dale W.; Kaufman, Roger

    2001-01-01

    Introduces a new, comprehensive planning and change concept for universities, "change creation," that encompasses both strategic planning and a transition process for the organization from "what is" to "what should be." After exploring change, why it often fails, and the tenets of change creation, presents its steps. A few are: leadership team…

  15. Practice transitions--past, present, and future.

    PubMed

    Prokes, Ronald I

    2014-01-01

    Until the 1960s, the value of a practice upon the retirement of the dentist was considered to be nil. In the next several decades, the value of a practice as a going business concern was recognized and formulas based on productivity were used to establish the sales price of "walkaway" practice transitions. Increasingly creative means, such as pre-sale, deferred pre-sale, shareholder process, incremental practice sale, and practice mergers have been created to make practice transitions more flexible, thereby maximizing the financial value of transitions. Dentists at the beginning of their careers will have an increasing range of opportunities in the future, with various combinations of financial security, freedom from manage- ment concerns, control over the practice, and accumulation of equity. Those in the 45- to 55-year age range should be planning in detail for their transition. Those older than 55 should begin exercising their plans since the future will involve much longer transitions.

  16. Transition Planning for Culturally and Linguistically Diverse Youth. Brookes Transition to Adulthood Series

    ERIC Educational Resources Information Center

    Greene, Gary

    2011-01-01

    Too often, culturally and linguistically diverse (CLD) youth with disabilities have a tougher road to adulthood than their Caucasian peers with disabilities. Reverse the odds with this concise how-to book, the first guide to easing the complex transition process for CLD students with a wide range of special needs. A veteran trainer of transition…

  17. Liquid Structures and Physical Properties -- Ground Based Studies for ISS Experiments

    NASA Technical Reports Server (NTRS)

    Kelton, K. F.; Bendert, J. C.; Mauro, N. A.

    2012-01-01

    Studies of electrostatically-levitated supercooled liquids have demonstrated strong short- and medium-range ordering in transition metal and alloy liquids, which can influence phase transitions like crystal nucleation and the glass transition. The structure is also related to the liquid properties. Planned ISS experiments will allow a deeper investigation of these results as well as the first investigations of a new type of coupling in crystal nucleation in primary crystallizing liquids, resulting from a linking of the stochastic processes of diffusion with interfacial-attachment. A brief description of the techniques used for ground-based studies and some results relevant to planned ISS investigations are discussed.

  18. 10 CFR 5.230 - Transition plans.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Transition plans. 5.230 Section 5.230 Energy NUCLEAR... FEDERAL FINANCIAL ASSISTANCE Coverage § 5.230 Transition plans. (a) Submission of plans. An institution to... either a single transition plan applicable to all such units, or a separate transition plan applicable to...

  19. 10 CFR 5.230 - Transition plans.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Transition plans. 5.230 Section 5.230 Energy NUCLEAR... FEDERAL FINANCIAL ASSISTANCE Coverage § 5.230 Transition plans. (a) Submission of plans. An institution to... either a single transition plan applicable to all such units, or a separate transition plan applicable to...

  20. 10 CFR 5.230 - Transition plans.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Transition plans. 5.230 Section 5.230 Energy NUCLEAR... FEDERAL FINANCIAL ASSISTANCE Coverage § 5.230 Transition plans. (a) Submission of plans. An institution to... either a single transition plan applicable to all such units, or a separate transition plan applicable to...

  1. 10 CFR 5.230 - Transition plans.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Transition plans. 5.230 Section 5.230 Energy NUCLEAR... FEDERAL FINANCIAL ASSISTANCE Coverage § 5.230 Transition plans. (a) Submission of plans. An institution to... either a single transition plan applicable to all such units, or a separate transition plan applicable to...

  2. 29 CFR 36.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Transition plans. 36.230 Section 36.230 Labor Office of the... FEDERAL FINANCIAL ASSISTANCE Coverage § 36.230 Transition plans. (a) Submission of plans. An institution... submit either a single transition plan applicable to all such units, or a separate transition plan...

  3. 10 CFR 5.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Transition plans. 5.230 Section 5.230 Energy NUCLEAR... FEDERAL FINANCIAL ASSISTANCE Coverage § 5.230 Transition plans. (a) Submission of plans. An institution to... either a single transition plan applicable to all such units, or a separate transition plan applicable to...

  4. 18 CFR 1317.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Transition plans. 1317... Coverage § 1317.230 Transition plans. (a) Submission of plans. An institution to which § 1317.225 applies... transition plan applicable to all such units, or a separate transition plan applicable to each such unit. (b...

  5. Mass Transit: Implementation of FTA’s New Starts Evaluation Process and FY 2001 Funding Proposals

    DTIC Science & Technology

    2000-04-01

    formalize the process. FTA issued a proposed rule on April 7, 1999, and plans to issue final regulations by the summer of 2000. In selecting projects for...commit funds to any more New Starts projects during the last 2 years of TEA-21—through fiscal year 2003. Because there are plans for many more...regional review of alternatives, develop preliminary engineering plans , and meet FTA’s approval for the final design. TEA-21 requires that FTA evaluate

  6. A novel method for vaginal cylinder treatment planning: a seamless transition to 3D brachytherapy

    PubMed Central

    Wu, Vincent; Wang, Zhou; Patil, Sachin

    2012-01-01

    Purpose Standard treatment plan libraries are often used to ensure a quick turn-around time for vaginal cylinder treatments. Recently there is increasing interest in transitioning from conventional 2D radiograph based brachytherapy to 3D image based brachytherapy, which has resulted in a substantial increase in treatment planning time and decrease in patient through-put. We describe a novel technique that significantly reduces the treatment planning time for CT-based vaginal cylinder brachytherapy. Material and methods Oncentra MasterPlan TPS allows multiple sets of data points to be classified as applicator points which has been harnessed in this method. The method relies on two hard anchor points: the first dwell position in a catheter and an applicator configuration specific dwell position as the plan origin and a soft anchor point beyond the last active dwell position to define the axis of the catheter. The spatial location of various data points on the applicator's surface and at 5 mm depth are stored in an Excel file that can easily be transferred into a patient CT data set using window operations and then used for treatment planning. The remainder of the treatment planning process remains unaffected. Results The treatment plans generated on the Oncentra MasterPlan TPS using this novel method yielded results comparable to those generated on the Plato TPS using a standard treatment plan library in terms of treatment times, dwell weights and dwell times for a given optimization method and normalization points. Less than 2% difference was noticed between the treatment times generated between both systems. Using the above method, the entire planning process, including CT importing, catheter reconstruction, multiple data point definition, optimization and dose prescription, can be completed in ~5–10 minutes. Conclusion The proposed method allows a smooth and efficient transition to 3D CT based vaginal cylinder brachytherapy planning. PMID:23349650

  7. Voluntary Teacher Leadership: Key to Sustainable Improvement

    ERIC Educational Resources Information Center

    Hickman, Wayne A.; Moore, Lynda C.; Torek, Tonya J.

    2008-01-01

    When the Burke County Board of Education mandated Burke County High School in Waynesboro, Georgia to "seek a solution" to its poor graduation rate--specifically, to change the school's schedule, teachers were given the responsibility and authority to plan and facilitate the transition. The transition process taught teachers and…

  8. Maintenance and operations contractor plan for transition to the project Hanford management contract (PHMC)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Waite, J.L.

    1996-04-12

    This plan has been developed by Westinghouse Hanford Company (WHC), and its subcontractors ICF Kaiser Hanford (ICF KH) and BCS Richland, Inc. (BCSR), at the direction of the US Department of Energy (DOE), Richland Operations Office (RL). WHC and its subcontractors are hereafter referred to as the Maintenance and Operations (M and O) Contractor. The plan identifies actions involving the M and O Contractor that are critical to (1) prepare for a smooth transition to the Project Hanford Management Contractor (PHMC), and (2) support and assist the PHMC and RL in achieving transition as planned, with no or minimal impactmore » to ongoing baseline activities. The plan is structured around two primary phases. The first is the pre-award phase, which started in mid-February 1996 and is currently scheduled to be completed on June 1, 1996, at which time the contract is currently planned to be awarded. The second is the follow-on four-month post-award phase from June 1, 1996, until October 1, 1996. Considering the magnitude and complexity of the scope of work being transitioned, completion in four months will require significant effort by all parties. To better ensure success, the M and O Contractor has developed a pre-award phase that is intended to maximize readiness for transition. Priority is given to preparation for facility assessments and processing of personnel, as these areas are determined to be on the critical path for transition. In addition, the M and O Contractor will put emphasis during the pre-award phase to close out open items prior to contract award, to include grievances, employee concerns, audit findings, compliance issues, etc.« less

  9. Assisting a College's Service Area in the Transition to the New Technology Society through Strategic Planning and Management.

    ERIC Educational Resources Information Center

    Groff, Warren H.

    North Central Technical College's (NCTC's) strategic planning and human resource development model is described in this paper in terms of its role in assisting the college's service area in adapting to new technologies. First, background information is presented on NCTC's planning process with respect to the strategic goal areas of: (1)…

  10. Managing Transition with Support: Experiences of Transition from Child and Adolescent Psychiatry to General Adult Psychiatry Narrated by Young Adults and Relatives

    PubMed Central

    Söderberg, Siv; Skär, Lisa

    2014-01-01

    Young adults with mental illness who need continuing care when they turn 18 are referred from child and adolescent psychiatry to general adult psychiatry. During this process, young adults are undergoing multiple transitions as they come of age while they transfer to another unit in healthcare. The aim of this study was to explore expectations and experiences of transition from child and adolescent psychiatry to general adult psychiatry as narrated by young adults and relatives. Individual interviews were conducted with three young adults and six relatives and analysed according to grounded theory. The analysis resulted in a core category: managing transition with support, and three categories: being of age but not mature, walking out of security and into uncertainty, and feeling omitted and handling concerns. The young adults' and relatives' main concerns were that they might be left out and feel uncertainty about the new situation during the transition process. To facilitate the transition process, individual care planning is needed. It is essential that young adults and relatives are participating in the process to be prepared for the changes and achieve a successful transition. Knowledge about the simultaneous processes seems to be an important issue for facilitating transition. PMID:24829900

  11. Challenges for Planning and Maintaining of Urban Rain Harvesting Systems- the case of Hammarby Sjöstad and Årstafältet in Stockholm

    NASA Astrophysics Data System (ADS)

    Suleiman, Lina

    2017-04-01

    Planners and policymakers' concern escalates over conventional systems dealing with rains in cities based on domination and control of nature rather than harmony and design with nature. A new spatial planning paradigm is needed to put in place systems which mimic natural water systems and promise multiple values instead of systems consider rain as a source of problem. However, such approach embodies significant planning challenges. Urban rain harvesting systems (URHs) are inherently viewed as 'sociotechnical' systems. As such, planning processes should consider the interdependence of 'social' and 'technical' aspects as essential elements if a transition towards sustainable urban water systems is to be realised. Drawing on a common understanding for what urban rain harvesting systems should deliver in terms of 'functions' and 'added values', a generic planning framework is developed to inform practitioners on how the 'socio' and 'technical' elements should be assimilated in a long-term and integrated planning processes of URHs. Using the developed framework, the paper examines the planning and maintenance processes of urban rain harvesting systems in Årstafältet and Hammarby Sjöstad respectively. Results show that planners lack a common operational understanding on how these systems should be designed holistically in a long term and integrated planning processes creating working gabs or positional conflicts. In practice, urban planners and water engineers look at these systems as either urban design component or water drainage system to deal with technical functions hindering a smooth transition path towards urban rain harvesting systems. The paper concludes on the urgency for reordering roles and relations within a new set-up organisation to incubate these systems in long-term planning and maintenance processes. Key words: 'Sociotechnical' system, Water, Planning, Urban Rain Harvesting systems (URHs), Hammarby Sjostad and Årstafältet

  12. Transition experiences of mental health service users, parents, and professionals in the United Kingdom: a qualitative study.

    PubMed

    Hovish, Kimberly; Weaver, Tim; Islam, Zoebia; Paul, Moli; Singh, Swaran P

    2012-01-01

    The aim of this study was to describe the experiences of child and adolescent mental health service (CAMHS) users, parents and professionals in relation to transition between CAMHS and adult mental health services (AMHS) in the United Kingdom. Young people were sampled from an observational study population of people reaching the transition boundary between CAMHS and AMHS. We thematically analyzed qualitative interviews with service users, parents and clinicians. Eleven service users were interviewed and linked interviews were completed with parents (n=6), and responsible clinicians in CAMHS (n=3) and AMHS (n=6). Informal and gradual preparation, transfer planning meetings, periods of parallel care, and consistency in key-workers promoted positive experiences of transition. Transfers between AMHS, changes of key-worker and waiting lists were viewed negatively. Other life transitions, including changes in housing, pregnancy, physical illness, and the involvement of parents or other services were sometimes powerful extraneous influences on transition experiences. The cumulative effect of multiple transitions is a complex and unsettling experience for many service users. Service user experiences are more likely to be positive if healthcare transition is a gradual process, tailored to the young person's needs and managed in the context of the other simultaneous practical, developmental and psychosocial transitions. Transfer planning meetings and parallel care were valued by all parties and should be standard practice at transition. CAMHS and AMHS need to work jointly to improve the transition process in these ways in order to enhance the outcomes for young people.

  13. Career Development for Transitioning Veterans. Monograph Series

    ERIC Educational Resources Information Center

    McCormick, Carmen Stein; Osborn, Debra S.; Hayden, Seth C. W.; Van Hoose, Dan

    2013-01-01

    The purpose of this book is to increase career practitioners' awareness of the transition issues and resources specific to veterans and to provide several examples of how a practitioner might walk a veteran through the career planning process. Case studies based on interviews with real veterans by the authors and military consultants (Thomas…

  14. Students in Transition Using Planning. Teacher's Manual.

    ERIC Educational Resources Information Center

    PACER Center, Inc., Minneapolis, MN.

    The manual was the outcome of a 3-year project to develop a training program on self-advocacy for special education students. The student training is a 3-4 hour program aimed at increased student awareness of their rights and responsibilities as they begin the transition process. Training materials include outlines for each session, student…

  15. Development of state and transition model assumptions used in National Forest Plan revision

    Treesearch

    Eric B. Henderson

    2008-01-01

    State and transition models are being utilized in forest management analysis processes to evaluate assumptions about disturbances and succession. These models assume valid information about seral class successional pathways and timing. The Forest Vegetation Simulator (FVS) was used to evaluate seral class succession assumptions for the Hiawatha National Forest in...

  16. Transition Choices Program: Preparing To Participate in Life's Choices. Teaching Guide and Curriculum.

    ERIC Educational Resources Information Center

    Stowitschek, Joseph J.; And Others

    The Transition Choices Program (TCP) is designed to increase the ability of young persons with disabilities to participate more fully in the school-to-adult life process through systematic instruction in six skills: exploring choices and developing preferences; planning goals and following through; seeking assistance when needed; recognizing and…

  17. Social Identity and the Transition to Entrepreneurship: The Role of Group Identification with Workplace Peers

    ERIC Educational Resources Information Center

    Obschonka, Martin; Goethner, Maximilian; Silbereisen, Rainer K.; Cantner, Uwe

    2012-01-01

    What role does social identity play in the transition from employed work to entrepreneurship? It was expected that social identity affects the cognitive processes that, according to the theory of planned behavior (TPB), underlie the formation of entrepreneurial intentions. Focusing on academic scientists' intentions to commercialize research…

  18. A Review of Interventions Aimed at Facilitating Successful Transition Planning and Transfer to Adult Care Among Youth with Chronic Illness.

    PubMed

    Weissberg-Benchell, Jill; Shapiro, Jenna B

    2017-05-01

    This article reviews studies that developed interventions aimed at facilitating the transition process and/or the transfer of youth with chronic illness to adult programs during the past decade. Three key intervention approaches have been studied. Data assessing the impact of transition coordinators suggest that the most successful outcomes occur when coordinators meet with patients prior to the transfer of care, support them as they negotiate the adult programs, and facilitate appointment keeping. Data assessing the impact of transition clinics suggest that the key to positive outcomes is helping patients develop a trusting relationship with the adult providers before fully transferring their care to the adult clinic. Similar conclusions can be drawn for transition programs, where it appears that the opportunity to discuss and plan transition with a pediatric provider over time and to meet with both the pediatric and adult providers simultaneously are beneficial for facilitating successful transfer to adult care. Although aspects of these care processes appear promising for improving transition success, this review identifies areas that need further study. We argue that studies are needed that examine individual patient and family-focused interventions as well as looking at other potential interventions in the health care system. [Pediatr Ann. 2017;46(5):e182-e187.]. Copyright 2017, SLACK Incorporated.

  19. 45 CFR 618.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Transition plans. 618.230 Section 618.230 Public... Coverage § 618.230 Transition plans. (a) Submission of plans. An institution to which § 618.225 applies and... plan applicable to all such units, or a separate transition plan applicable to each such unit. (b...

  20. 34 CFR 106.17 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Transition plans. 106.17 Section 106.17 Education... Coverage § 106.17 Transition plans. (a) Submission of plans. An institution to which § 106.16 applies and... plan applicable to all such units, or a separate transition plan applicable to each such unit. (b...

  1. PEPFAR Transitions to Country Ownership: Review of Past Donor Transitions and Application of Lessons Learned to the Eastern Caribbean

    PubMed Central

    Vogus, Abigail; Graff, Kylie

    2015-01-01

    The US President’s Emergency Plan for AIDS Relief (PEPFAR) has shifted from an emergency response to a sustainable, country-owned response. The process of transition to country ownership is already underway in the Eastern Caribbean; the Office of the US Global AIDS Coordinator (OGAC) has advised the region that PEPFAR funding is being redirected away from the Eastern Caribbean toward Caribbean countries with high disease burden to strengthen services for key populations. This article seeks to highlight and apply lessons learned from other donor transitions to support a successful transition of HIV programs in the Eastern Caribbean. Based on a rapid review of both peer-reviewed and gray literature on donor transitions to country ownership in family planning, HIV, and other areas, we identified 48 resources that addressed key steps in the transition process and determinants of readiness for transition. Analysis of the existing literature revealed 6 steps that could help ensure successful transition, including developing a clear roadmap articulated through high-level diplomacy; investing in extensive stakeholder engagement; and supporting monitoring and evaluation during and after the transition to adjust course as needed. Nine specific areas to assess a country’s readiness for transition include: leadership and management capacity, political and economic factors, the policy environment, identification of alternative funding sources, integration of HIV programs into the wider health system, the institutionalization of processes, the strength of procurement and supply chain management, identification of staffing and training needs, and engagement of civil society and the private sector. In the Caribbean, key areas requiring strengthening to ensure countries in the region can maintain the gains made under PEPFAR include further engaging civil society and the private sector, building the capacity of NGOs to take on essential program functions, and maintaining donor support for targeted capacity building and long-term monitoring and evaluation efforts. PMID:26085023

  2. 31 CFR 28.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Transition plans. 28.230 Section 28... Transition plans. (a) Submission of plans. An institution to which § 28.225 applies and that is composed of more than one administratively separate unit may submit either a single transition plan applicable to...

  3. Spitzer Mission Operation System Planning for IRAC Warm-Instrument Characterization

    NASA Technical Reports Server (NTRS)

    Hunt, Joseph C., Jr.; Sarrel, Marc A.; Mahoney, William A.

    2010-01-01

    This paper will describe how the Spitzer Mission Operations System planned and executed the characterization phase between Spitzer's cryogenic mission and its warm mission. To the largest extend possible, the execution of this phase was done with existing processing and procedures. The modifications that were made were in response to the differences of the characterization phase compared to normal phases before and after. The primary two categories of difference are: unknown date of execution due to uncertainty of knowledge of the date of helium depletion, and the short cycle time for data analysis and re-planning during execution. In addition, all of the planning and design had to be done in parallel with normal operations, and we had to transition smoothly back to normal operations following the transition. This paper will also describe the re-planning we had to do following an anomaly discovered in the first days after helium depletion.

  4. Planning for transit-supportive development : a practitioner's guide. Section 2 : general transit-supportive development planning topics.

    DOT National Transportation Integrated Search

    2014-06-01

    Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

  5. Planning for transit-supportive development : a practitioner's guide. Section 5 : local planning and transit-supportive development.

    DOT National Transportation Integrated Search

    2014-06-01

    Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

  6. Planning for transit-supportive development : a practitioner's guide. Section 4 : corridor planning and transit-supportive development.

    DOT National Transportation Integrated Search

    2014-06-01

    Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

  7. Developing a framework for a toolkit for carbon footprint that integrates transit (CFIT).

    DOT National Transportation Integrated Search

    2010-11-01

    The purpose of this research was to evaluate five transportation planning processes used in Florida to determine how greenhouse gas (GHG) emissions considerations can be incorporated into the processes. These included the federal metropolitan plannin...

  8. Transition Planning

    ERIC Educational Resources Information Center

    Statfeld, Jenna L.

    2011-01-01

    Post-school transition is the movement of a child with disabilities from school to activities that occur after the completion of school. This paper provides information about: (1) post-school transition; (2) transition plan; (3) transition services; (4) transition planning; (5) vocational rehabilitation services; (6) services that are available…

  9. Transition from the Lactational Amenorrhea Method to other modern family planning methods in rural Bangladesh: barrier analysis and implications for behavior change communication program intervention design.

    PubMed

    Kouyaté, Robin Anthony; Ahmed, Salahuddin; Haver, Jaime; McKaig, Catharine; Akter, Nargis; Nash-Mercado, Angela; Baqui, Abdullah

    2015-06-01

    The timely transition from Lactational Amenorrhea Method (LAM)(2) to another modern family planning method contributes to healthy spacing of pregnancies by increasing the adoption of family planning during the first year postpartum. Yet, literature suggests challenges in completing a timely LAM transition. To guide program implementation in Bangladesh, this study identified factors influencing women's transition decisions. Eighty postpartum women, comprising 40 who transitioned from LAM(3) and 40 who did not,(4) participated. Half of each group participated in in-depth interviews to explore the decision-making process. All participants responded to a "Barrier Analysis" questionnaire to identify differences in eight behavioral determinants. More than half of transitioners switched to another modern method before or within the same month that LAM ended. Of the 18 transitioners who delayed,(5) 15 waited for menses to return. For non-transitioners, key barriers included waiting for menses to return, misconceptions on return to fertility, and perceived lack of familial support. The LAM transition can help women prevent unintended pregnancy during the first year postpartum. Increased emphasis on counseling women about the risk of pregnancy, and misconceptions about personal fertility patterns are critical for facilitating the transition. Strategies should also include interventions that train health workers and improve social support. Copyright © 2015. Published by Elsevier Ltd.

  10. Planning for transit-supportive development : a practitioner's guide. Section 3 : regional vision planning and transit-supportive development.

    DOT National Transportation Integrated Search

    2014-06-01

    Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

  11. Transition Processes from College to Career.

    ERIC Educational Resources Information Center

    Hettich, Paul

    The transition from college to career is one of the most challenging jobs an individual will experience. This is particularly true for students who have limited work experience. The fact that 50-80% of new college graduates leave their first job within three years may be due to poor career planning and problems inherent in the college-to-work…

  12. School Transitions: A Qualitative Study of the Supports Provided by Washington State Special Education Administrators

    ERIC Educational Resources Information Center

    Lewinsohn, Kari

    2013-01-01

    This study investigated the role of special education administrators in the transition planning process for children with disabilities ages 3-21 in selected Washington school districts. A basic qualitative study was selected to construct meaning from a described phenomenon. The study sought to identify and explain how special education…

  13. Pediatricians Transitioning Practices, Youth With Special Health Care Needs in New York State.

    PubMed

    Davidson, Lynn F; Chhabra, Rosy; Cohen, Hillel W; Lechuga, Claudia; Diaz, Patricia; Racine, Andrew

    2015-10-01

    To assess current practices of New York State pediatricians as they transition youth with special health care needs to adult-oriented medical care. A survey of New York State pediatricians included 6 critical steps from 2002 consensus statement, 11 essential steps adapted from recent literature, and questions targeting age of starting transition and availability of transition policy. Of 181 respondents, only 11% have a transition policy. Most assist patients in transition process; identify an adult provider (92%); and create portable medical summary (57%). Only 3% start planning process at recommended age. No respondents are compliant with all 6 critical steps; subspecialists were more likely to report compliance to more than 4 steps. Participating pediatricians are making gains, yet effort is needed, to incorporate the essential steps into practice for transitioning youth with special health care needs. Recognition of barriers, use of electronic tools, and clarifying subspecialist's approach, may improve compliance with transition recommendations. © The Author(s) 2015.

  14. Management practices to support donor transition: lessons from Avahan, the India AIDS Initiative.

    PubMed

    Bennett, Sara; Rodriguez, Daniela; Ozawa, Sachiko; Singh, Kriti; Bohren, Meghan; Chhabra, Vibha; Singh, Suneeta

    2015-06-13

    During 2009-2012, Avahan, a large donor funded HIV/AIDS prevention program in India was transferred from donor support and operation to government. This transition of approximately 200 targeted interventions (TIs), occurred in three tranches in 2009, 2011 and 2012. This paper reports on the management practices pursued in support of a smooth transition of the program, and addresses the extent to which standard change management practices were employed, and were useful in supporting transition. We conducted structured surveys of a sample of 80 TIs from the 2011 and 2012 rounds of transition. One survey was administered directly before transition and the second survey 12 month after transition. These surveys assessed readiness for transition and practices post-transition. We also conducted 15 case studies of transitioning TIs from all three rounds, and re-visited 4 of these 1-3 years later. Considerable evolution in the nature of relationships between key actors was observed between transition rounds, moving from considerable mistrust and lack of collaboration in 2009 toward a shared vision of transition and mutually respectful relationships between Avahan and government in later transition rounds. Management practices also evolved with the gradual development of clear implementation plans, establishment of the post of "transition manager" at state and national levels, identified budgets to support transition, and a common minimum programme for transition. Staff engagement was important, and was carried out relatively effectively in later rounds. While the change management literature suggests short-term wins are important, this did not appear to be the case for Avahan, instead a difficult first round of transition seemed to signal the seriousness of intentions regarding transition. In the Avahan case a number of management practices supported a smooth transition these included: an extended and sequenced time frame for transition; co-ownership and planning of transition by both donor and government; detailed transition planning and close attention to program alignment, capacity development and communication; engagement of staff in the transition process; engagement of multiple stakeholders post transition to promote program accountability and provide financial support; signaling by actors in charge of transition that they were committed to specified time frames.

  15. The Strategic Value of Succession Planning for Department Chairs.

    PubMed

    Rayburn, William; Grigsby, Kevin; Brubaker, Linda

    2016-04-01

    Most faculty who aspire to be department chairs are unaware of succession processes at their institution. This Commentary highlights the importance of succession planning, emphasizing the general need for transparency. Succession planning provides institutional leaders the opportunity to optimize, renew, and revitalize their organization by ensuring successful leadership transitions. In contrast to leadership pathways in the military, corporate business, and hospital administration, planned succession of medical school department chairs has received little attention. Different approaches to succession planning are essential for emergency and planned transitions. Emergency succession plans should be in place at all times, regularly revisited, and modified as needed. Department chairs should begin considering their planned succession between one and five years after their initial appointment. The succession discussion between a chair and medical school dean requires cautious, thoughtful, and open discussions. Intradepartmental annual faculty performance evaluations permit the chair to mentor potential successors in acquiring future-oriented, institution-based leadership qualities necessary to be considered for a future department chair position. If health and time permit, the successful chair should remain in his or her current position until a successor is named or, preferably, is in place. Appointment of an interim chair as part of succession planning can be useful for on-the-job training of an internal candidate, yet awkwardness might ensue if there is more than one internal candidate.Succession development offers the great advantage of maintaining smooth organizational performance while optimizing talent management and exploring opportunities for transitioning individuals into leadership roles.

  16. 41 CFR 105-8.150-4 - Transition plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Transition plan. 105-8... Transition plan. In the event that structural changes to facilities will be undertaken to achieve program accessibility, the agency shall develop, by March 9, 1992; the transition plan setting forth the steps necessary...

  17. Transition Planning For After Polio Eradication.

    PubMed

    Rutter, Paul D; Hinman, Alan R; Hegg, Lea; King, Dennis; Sosler, Stephen; Swezy, Virginia; Hussey, Ann-Lee; Cochi, Stephen L

    2017-07-01

    The Global Polio Eradication Initiative (GPEI) has been in operation since 1988, now spends $1 billion annually, and operates through thousands of staff and millions of volunteers in dozens of countries. It has brought polio to the brink of eradication. After eradication is achieved, what should happen to the substantial assets, capabilities, and lessons of the GPEI? To answer this question, an extensive process of transition planning is underway. There is an absolute need to maintain and mainstream some of the functions, to keep the world polio-free. There is also considerable risk-and, if seized, substantial opportunity-for other health programs and priorities. And critical lessons have been learned that can be used to address other health priorities. Planning has started in the 16 countries where GPEI's footprint is the greatest and in the program's 5 core agencies. Even though poliovirus transmission has not yet been stopped globally, this planning process is gaining momentum, and some plans are taking early shape. This is a complex area of work-with difficult technical, financial, and political elements. There is no significant precedent. There is forward motion and a willingness on many sides to understand and address the risks and to explore the opportunities. Very substantial investments have been made, over 30 years, to eradicate a human pathogen from the world for the second time ever. Transition planning represents a serious intent to responsibly bring the world's largest global health effort to a close and to protect and build upon the investment in this effort, where appropriate, to benefit other national and global priorities. Further detailed technical work is now needed, supported by broad and engaged debate, for this undertaking to achieve its full potential. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  18. Conducting a multicentre and multinational qualitative study on patient transitions.

    PubMed

    Johnson, Julie K; Barach, Paul; Vernooij-Dassen, Myrra

    2012-12-01

    A multicentre, multinational research study requires careful planning and coordination to accomplish the aims of the study and to ensure systematic and rigorous examination of all project methods and data collected. The aim of this paper is to describe the approach we used during the HANDOVER Project to develop a multicentre, multinational research project for studying transitions of patient care while creating a community of practice for the researchers. We highlight the process used to assure the quality of a multicentre qualitative study and to create a codebook for data analysis as examples of attending to the community of practice while conducting rigorous qualitative research. Essential elements for the success of this multinational, multilanguage research project included recruiting a strong research team, explicit planning for decision-making processes to be used throughout the project, acknowledging the differences among the study settings and planning the protocols to capitalise upon those differences. Although not commonly discussed in reports of large research projects, there is an underlying, concurrent stream of activities to develop a cohesive team that trusts and respects one another's skills and that engage independent researchers in a group process that contributes to achieving study goals. We discuss other lessons learned and offer recommendations for other teams planning multicentre research.

  19. Life After Being a Pathology Department Chair

    PubMed Central

    Lipscomb, Mary F.; Gorstein, Fred; Wilkinson, David; Sanfilippo, Fred

    2016-01-01

    Although there is a considerable literature on transition of faculty members to the position of department chair, there is a dearth of publications about transitioning from the chair to other activities including retirement. The Association of Pathology Chairs senior fellows (all of whom are former chairs of academic departments of pathology) made this topic a focus of discussion at the Association of Pathology Chairs 2016 Annual Meeting. Of the 33 senior fellows engaged in this discussion, following their time as chairs, a small majority (18) transitioned to other administrative posts within or outside the university, while the others either returned to the active faculty (7) or retired (8). The motivating factors and influences for transitioning from the chair were probed along with the processes used in executing the transition, such as the development of transition plans. The reasons for selecting the specific type of postchair activity were also investigated. There was extraordinary diversity in the type of post-chair activities pursued. To our knowledge, no other medical specialty has examined these issues, which may be potentially relevant for the career planning of active chairs. PMID:28725780

  20. Parents' Perspectives on Transition and Postsecondary Outcomes for Their Children Who Are d/Deaf or Hard of Hearing

    ERIC Educational Resources Information Center

    Cawthon, Stephanie W.; Caemmerer, Jacqueline M.

    2014-01-01

    Parent Involvement and parent expectations are important factors in successful academic and career outcomes for students who are d/Deaf or hard of hearing. Parental roles are particularly important during the transition planning process for students with disabilities. Results are presented from an exploratory study of 56 parents that measured…

  1. Considerations for the Military Child with Special Needs Transitioning to Adulthood

    ERIC Educational Resources Information Center

    Lewis-Fleming, Glenda

    2007-01-01

    Transition is a dynamic lifelong process that seeks to meet individual needs as a person with disabilities moves from childhood to adulthood. Per laws in most states, once an individual becomes 18 years of age that person is considered an adult regardless of the level of his or her disability. Initiating planning for adult living activities and…

  2. User experience and care for older people transitioning from hospital to home: Patients' and carers' perspectives.

    PubMed

    Allen, Jacqueline; Hutchinson, Alison M; Brown, Rhonda; Livingston, Patricia M

    2018-04-01

    Transitioning from hospital to home is challenging for many older people living with chronic health conditions. Transitional care facilitates safe and timely transfer of patients between levels of care and across care settings and includes communication between practitioners, assessment and planning, preparation, medication reconciliation, follow-up care and self-management education. To date, there is limited understanding of how to actively involve care recipient service users in transitional care. This study was part of a larger research project. The objective of this article was to report the first study phase, in which we aimed to describe user experience pertaining to patients and carers. The study design was qualitative descriptive using interviews. Patients (n = 19) and carers (n = 7) participated in semi-structured interviews about their experience of transition from hospital to home in an urban Australian health-care setting. Interview data were analysed using thematic analysis. All participants reported that they needed to become independent in transition. Participants perceived a range of social processes supported their independence at home: supportive relationships with carers, caring relationships with health-care practitioners, seeking information, discussing and negotiating the transitional care plan and learning to self-care. Findings contribute to our understanding that quality transitional care should focus on patients' need to regain independence. Social processes supporting the capacities of patients and carers should be emphasized in future initiatives. Future transitional care interventions should emphasize strategies to enable negotiation for suitable supports and assist care recipients to overcome barriers identified in this study. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  3. PEPFAR Transitions to Country Ownership: Review of Past Donor Transitions and Application of Lessons Learned to the Eastern Caribbean.

    PubMed

    Vogus, Abigail; Graff, Kylie

    2015-06-17

    The US President's Emergency Plan for AIDS Relief (PEPFAR) has shifted from an emergency response to a sustainable, country-owned response. The process of transition to country ownership is already underway in the Eastern Caribbean; the Office of the US Global AIDS Coordinator (OGAC) has advised the region that PEPFAR funding is being redirected away from the Eastern Caribbean toward Caribbean countries with high disease burden to strengthen services for key populations. This article seeks to highlight and apply lessons learned from other donor transitions to support a successful transition of HIV programs in the Eastern Caribbean. Based on a rapid review of both peer-reviewed and gray literature on donor transitions to country ownership in family planning, HIV, and other areas, we identified 48 resources that addressed key steps in the transition process and determinants of readiness for transition. Analysis of the existing literature revealed 6 steps that could help ensure successful transition, including developing a clear roadmap articulated through high-level diplomacy; investing in extensive stakeholder engagement; and supporting monitoring and evaluation during and after the transition to adjust course as needed. Nine specific areas to assess a country's readiness for transition include: leadership and management capacity, political and economic factors, the policy environment, identification of alternative funding sources, integration of HIV programs into the wider health system, the institutionalization of processes, the strength of procurement and supply chain management, identification of staffing and training needs, and engagement of civil society and the private sector. In the Caribbean, key areas requiring strengthening to ensure countries in the region can maintain the gains made under PEPFAR include further engaging civil society and the private sector, building the capacity of NGOs to take on essential program functions, and maintaining donor support for targeted capacity building and long-term monitoring and evaluation efforts. © Vogus et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/3.0/

  4. Mexico's Regulatory Engagement in Bulk Electric Power System Planning: An Overview of U.S. Practices and Tools

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    O'Neill, Barbara; Hurlbut, David; Pena, Ivonne

    2016-06-01

    Mexico's transition to a modern wholesale power market will place new demands on how regulators evaluate and approve transmission expansion projects. Transmission projects in a modern wholesale market fulfill one of several needs, and utilities, regional transmission organizations, and regulatory authorities in the United States have encountered comparable challenges in their market transitions to ensure projects meeting each type of need can be built. The purpose of this report is to open a window to view that experience. The report examines key practices of different U.S. jurisdictions that have moved from transmission planning to transmission approval, and it focuses onmore » the role of the regulator in supporting a planning process that equitably meets identified needs.« less

  5. Fluor Hanford (FH) River Corridor Transition Plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    MCBRIDE, D.J.

    2002-08-28

    This Transition Plan defines the scope and schedule for actions that are critical for a smooth transition of the River Corridor scope of work and to ensure the achievement of transition as planned, with minimal or no impact to ongoing baseline activities.

  6. Seamless transitions from early prototypes to mature operational software - A technology that enables the process for planning and scheduling applications

    NASA Technical Reports Server (NTRS)

    Hornstein, Rhoda S.; Wunderlich, Dana A.; Willoughby, John K.

    1992-01-01

    New and innovative software technology is presented that provides a cost effective bridge for smoothly transitioning prototype software, in the field of planning and scheduling, into an operational environment. Specifically, this technology mixes the flexibility and human design efficiency of dynamic data typing with the rigor and run-time efficiencies of static data typing. This new technology provides a very valuable tool for conducting the extensive, up-front system prototyping that leads to specifying the correct system and producing a reliable, efficient version that will be operationally effective and will be accepted by the intended users.

  7. Roadmaps to Transition Countries to 100% Clean, Renewable Energy for All Purposes to Curtail Global Warming, Air Pollution, and Energy Risk

    NASA Astrophysics Data System (ADS)

    Jacobson, Mark Z.

    2017-10-01

    Solving the problems of global warming, air pollution, and energy security requires a massive effort by individuals, communities, businesses, nonprofits, and policy makers around the world. The first step in that process is to have a plan. To that end, roadmaps to transition 139 countries of the world to 100% clean, renewable wind, water, and solar power for all energy purposes (electricity, transportation, heating, cooling, industry, agriculture, forestry, and fishing) by 2050, with 80% by 2030, have been developed. The evolution, characteristics, and impacts to date of these plans are briefly described.

  8. A Winning Transition Plan

    ERIC Educational Resources Information Center

    Moeder-Chandler, Markus

    2014-01-01

    Helping high school athletes navigate the college recruitment process requires some extra steps. This article assists school counselors in the athletic identification process with support provided for both the student and parents. Also covered is how the recruitment criteria for a college and team works. The role of counselor places them on the…

  9. Bridging the Technology Valley of Death in Joint Medical Development

    DTIC Science & Technology

    2015-11-01

    Force lieutenant colonel, is the Air Force Medical Support Agency Advanced Development Liaison Field Engineer in Falls Church, Virginia. Prusaczyk is...Awareness, communication and coordination may be mini - mal among Service S&T and AD programs. Joint Transition Planning Process A Joint Transition...Human Proof of Phase III NDA/BLA ling Approval, Launch Concept*** Launch Review Program Initiation Materiel Technology Engineering & Production

  10. Transition of Students with Autistic Spectrum Disorders from Primary to Post-Primary School: A Framework for Success

    ERIC Educational Resources Information Center

    Deacy, Evelyn; Jennings, Fiona; O'Halloran, Ailbhe

    2015-01-01

    The purpose of this research was to investigate best practice in relation to the planning, process and strategies that support the transition of students with ASD from primary to post-primary school. A questionnaire survey was sent to graduates of a postgraduate Certificate/Diploma in SEN (ASD) in Ireland who were working in primary and…

  11. A Look at Long-Term Strategic Planning: Comparing and Contrasting the United States Government 3D Planning Model and a Non-Governmental Organization

    DTIC Science & Technology

    2012-04-11

    labor . The first phase is primarily focused at the community level with education, training, and developing skills. Phase two is a transition to...incorporates design into the framework as the project is identified and reinserted several times in the process, to include toward the end of

  12. 41 CFR 101-4.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Transition plans. 101-4... plans. (a) Submission of plans. An institution to which § 101-4.225 applies and that is composed of more than one administratively separate unit may submit either a single transition plan applicable to all...

  13. Finding shared decisions in stakeholder networks: An agent-based approach

    NASA Astrophysics Data System (ADS)

    Le Pira, Michela; Inturri, Giuseppe; Ignaccolo, Matteo; Pluchino, Alessandro; Rapisarda, Andrea

    2017-01-01

    We address the problem of a participatory decision-making process where a shared priority list of alternatives has to be obtained while avoiding inconsistent decisions. An agent-based model (ABM) is proposed to mimic this process in different social networks of stakeholders who interact according to an opinion dynamics model. Simulations' results show the efficacy of interaction in finding a transitive and, above all, shared decision. These findings are in agreement with real participation experiences regarding transport planning decisions and can give useful suggestions on how to plan an effective participation process for sustainable policy-making based on opinion consensus.

  14. Team processes in airway facilities operations control centers.

    DOT National Transportation Integrated Search

    2000-07-01

    In October 2000, the Airway Facilities organization plans to transition the National Airspace System (NAS) monitoring responsibilities to three regional Operations Control Centers (OCCs). Teams in these facilities will be different from those that cu...

  15. Effect of Transition Planning on Postsecondary Support Receipt by Students with Disabilities

    ERIC Educational Resources Information Center

    Newman, Lynn A; Madaus, Joseph W.; Javitz, Harold S.

    2016-01-01

    Data from the National Longitudinal Transition Study-2 were analyzed to determine the effect of receiving transition planning education and having a transition plan that specified needed postsecondary accommodations on the receipt of disability-specific services and generally available supports at the postsecondary level by students with…

  16. Planning for transit-supportive development : a practitioner's guide, executive summary.

    DOT National Transportation Integrated Search

    2014-06-01

    Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

  17. Families’ Priorities Regarding Hospital-to-Home Transitions for Children With Medical Complexity

    PubMed Central

    O’Brien, Emily R.; Leslie, Laurel K.; Lindenauer, Peter K.; Mangione-Smith, Rita M.

    2017-01-01

    BACKGROUND: National health care policy recommends that patients and families be actively involved in discharge planning. Although children with medical complexity (CMC) account for more than half of pediatric readmissions, scalable, family-centered methods to effectively engage families of CMC in discharge planning are lacking. We aimed to systematically examine the scope of preferences, priorities, and goals of parents of CMC regarding planning for hospital-to-home transitions and to ascertain health care providers’ perceptions of families’ transitional care goals and needs. METHODS: We conducted semistructured interviews with parents and health care providers at a tertiary care hospital. Interviews were continued until thematic saturation was reached. Interviews were audio recorded, transcribed verbatim, and analyzed to identify emergent themes via a general inductive approach. RESULTS: Thirty-nine in-depth interviews were conducted, including 23 with family caregivers of CMC and 16 with health care providers. Families’ priorities, preferences, and goals for hospital-to-home transitions aligned with 7 domains: effective engagement with health care providers, respect for families’ discharge readiness, care coordination, timely and efficient discharge processes, pain and symptom control, self-efficacy to support recovery and ongoing child development, and normalization and routine. These domains also emerged in interviews with health care providers, although there were minor differences in themes discussed. CONCLUSIONS: Although CMC have diverse transitional care needs, their families’ priorities, preferences, and goals aligned with 7 domains that bridged their hospital admission with reestablishment of a home routine. This research provides essential foundational data to engage families in discharge planning, guiding the operationalization of national health policy recommendations. PMID:27940509

  18. 14 CFR 1253.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Transition plans. 1253.230 Section 1253.230... EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 1253.230 Transition plans. (a) Submission of plans. An institution to which § 1253.225 applies and that is composed of more than...

  19. 49 CFR 25.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Transition plans. 25.230 Section 25.230... PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 25.230 Transition plans. (a) Submission of plans. An institution to which § 25.225 applies and that is composed of more than one...

  20. 6 CFR 17.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Transition plans. 17.230 Section 17.230 Domestic... EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 17.230 Transition plans. (a) Submission of plans. An institution to which § 17.225 applies and that is composed of more than...

  1. Help to Move on--but to What? Young People with Learning Difficulties Moving on from Out-of-Area Residential Schools or Colleges

    ERIC Educational Resources Information Center

    Heslop, Pauline; Abbott, David

    2009-01-01

    This article describes research undertaken between 2004 and 2006 about the issues faced by 15 young people with a wide range of learning difficulties in out-of-area residential schools and colleges at transition. The process of transition planning was hampered by the distance between the school/college and the "home authority" of the young person;…

  2. Planning for transit-supportive development : a practitioner's guide. Section 1 : introduction.

    DOT National Transportation Integrated Search

    2014-06-01

    Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

  3. Transition and Transfer of Remediated Formerly Utilized Sites Remedial Action Program (FUSRAP) Sites from U.S. Army Corps of Engineers (USACE) to U.S. Department of Energy (DOE)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Carpenter, Cliff; Castillo, Darina; Fatherly, Nicki

    The US Department of Energy (DOE) expects to receive the transfer of 10 FUSRAP Sites from the US Army Corps of Engineers (USACE) over the next 10 years; however, the timing of the transfers is highly dependent upon federal funding of the ongoing remedial actions. When remediation for each site is complete and the 2-year operations and maintenance period has concluded, each site will transfer from USACE to DOE for long-term surveillance and maintenance (LTS&M). US DOE’s Office of Legacy Management (LM) will accept program responsibility for these sites and conduct LTS&M activities required to maintain protectiveness, preserve site-specific knowledge,more » and retain the cleanup and stewardship records while keeping stakeholders informed. Since the last FUSRAP site transfer occurred in 2007, LM in coordination with USACE intends to establish a transition process to promote the seamless transfer of sites from the time when the first record of decision is signed to the completion of FUSRAP activities. The approach to transfer active FUSRAP sites to completed sites status has been historically outlined in foundational documents such as the 1999 Memorandum of Understanding and supporting letters of agreement between the two agencies. As more complex FUSRAP sites are completed, this transition process will provide a model between the two agencies to communicate future long-term care liabilities. Ultimately, the FUSRAP transition process is structured to acquire and preserve site knowledge and information necessary for protecting the environment and public health. As of 2015, LM has transitioned and accepted programmatic responsibility for over 90 sites. From LM’s perspective, successful transition of any site includes understanding the long-term environmental liabilities. LM uses site transition framework requirements from past transitions to develop site-specific transition plans. Site-specific transition plans are developed by LM in coordination with USACE and executed during the 2-year operations and maintenance period. An integrated project team of subject matter experts is assembled to address the conditions of the transitioning site; acquire a site records collection; evaluate site operations and final site conditions and associated risks; identify and contact stakeholders; and document the basis for site LTS&M requirements. While the majority of the transition activities are completed by LM, close coordination between US DOE LM and USACE throughout this process is essential for an effective and seamless transfer to assure that there is no lapse in site protectiveness.« less

  4. AllAboard: Visual Exploration of Cellphone Mobility Data to Optimise Public Transport.

    PubMed

    Di Lorenzo, G; Sbodio, M; Calabrese, F; Berlingerio, M; Pinelli, F; Nair, R

    2016-02-01

    The deep penetration of mobile phones offers cities the ability to opportunistically monitor citizens' mobility and use data-driven insights to better plan and manage services. With large scale data on mobility patterns, operators can move away from the costly, mostly survey based, transportation planning processes, to a more data-centric view, that places the instrumented user at the center of development. In this framework, using mobile phone data to perform transit analysis and optimization represents a new frontier with significant societal impact, especially in developing countries. In this paper we present AllAboard, an intelligent tool that analyses cellphone data to help city authorities in visually exploring urban mobility and optimizing public transport. This is performed within a self contained tool, as opposed to the current solutions which rely on a combination of several distinct tools for analysis, reporting, optimisation and planning. An interactive user interface allows transit operators to visually explore the travel demand in both space and time, correlate it with the transit network, and evaluate the quality of service that a transit network provides to the citizens at very fine grain. Operators can visually test scenarios for transit network improvements, and compare the expected impact on the travellers' experience. The system has been tested using real telecommunication data for the city of Abidjan, Ivory Coast, and evaluated from a data mining, optimisation and user prospective.

  5. Challenges of the Transition from Pediatric Care to Care of Adults: "Say Goodbye, Say Hello".

    PubMed

    Touraine, Philippe; Polak, Michel

    2018-01-01

    Transition has been defined as "the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health care systems." We will here describe the challenges of such a process: challenges coming from the pediatrician, from the adolescent, linked to the disease itself, and those from the parents. We will outline how to overcome those fears and challenges to provide a successful transition process. A key factor to underline that process is that a relationship based on confidence should be established between the pediatrician and the physician for adults, in order for that relationship, based on trust, to be the basis for the transfer of the adolescent from the pediatric system of care to the adult one. © 2018 S. Karger AG, Basel.

  6. Parents' perspectives on transition and postsecondary outcomes for their children who are d/Deaf or hard of hearing.

    PubMed

    Cawthon, Stephanie W; Caemmerer, Jacqueline M

    2014-01-01

    Parent involvement and parent expectations are important factors in successful academic and career outcomes for students who are d/Deaf or hard of hearing. Parental roles are particularly important during the transition planning process for students with disabilities. Results are presented from an exploratory study of 56 parents that measured their involvement, perceptions, and expectations during the transition process. Parents positively rated their experiences with the individualized education program (IEP) process and held high expectations for both their child's educational attainment and employment. However, differences in expectations and perceptions emerged among parents whose children had co-occurring disabilities. Future directions for research and practice are discussed, including the implications of the demographics of the study sample and the relationship between parental demographics and parents' expectations for their children.

  7. Transition Goals for Youth with Social, Emotional, and Behavioral Problems: Parent and Student Knowledge

    ERIC Educational Resources Information Center

    Harrison, Judith R.; State, Talida M.; Wills, Howard P.; Custer, Beth A.; Miller, Elaine

    2017-01-01

    Transition planning is a mandated component of individualized education plans (IEPs) designed to ensure successful transition to adult life for students with disabilities. Students with social, emotional, and behavioral (SEB) needs experience poor post-school outcomes, suggesting a need for more effective transition planning. This study evaluated…

  8. Essentials of Transition Planning. Brookes Transition to Adulthood Series

    ERIC Educational Resources Information Center

    Wehman, Paul

    2011-01-01

    For young people with disabilities, crossing the bridge to adulthood will be empowering instead of intimidating--when their support teams know the essentials of effective transition planning. Now all the fundamentals of well-crafted transition plans are collected in one concise quick-guide, straight from one of the top authorities on helping young…

  9. Independent Living Transition Assistance for Young Adults Who Have Special Needs

    ERIC Educational Resources Information Center

    Russell, Rhonda L.

    2016-01-01

    This research focused on young adults who have disabilities and their transition and career planning for post-secondary life. The study sought to identify best practices in transition planning, transition planning services, and to determine the types of resources and support needed by young adults who have disabilities. For youth who have…

  10. Feasibility study of transit photon correlation anemometer for Ames Research Center unitary wind tunnel plan

    NASA Technical Reports Server (NTRS)

    Mayo, W. T., Jr.; Smart, A. E.

    1979-01-01

    A laser transit anemometer measured a two-dimensional vector velocity, using the transit time of scattering particles between two focused and parallel laser beams. The objectives were: (1) the determination of the concentration levels and light scattering efficiencies of naturally occurring, submicron particles in the NASA/Ames unitary wind tunnel and (2) the evaluation based on these measured data of a laser transit anemometer with digital correlation processing for nonintrusive velocity measurement in this facility. The evaluation criteria were the speeds at which point velocity measurements could be realized with this technique (as determined from computer simulations) for given accuracy requirements.

  11. An aggregate method to calibrate the reference point of cumulative prospect theory-based route choice model for urban transit network

    NASA Astrophysics Data System (ADS)

    Zhang, Yufeng; Long, Man; Luo, Sida; Bao, Yu; Shen, Hanxia

    2015-12-01

    Transit route choice model is the key technology of public transit systems planning and management. Traditional route choice models are mostly based on expected utility theory which has an evident shortcoming that it cannot accurately portray travelers' subjective route choice behavior for their risk preferences are not taken into consideration. Cumulative prospect theory (CPT), a brand new theory, can be used to describe travelers' decision-making process under the condition of uncertainty of transit supply and risk preferences of multi-type travelers. The method to calibrate the reference point, a key parameter to CPT-based transit route choice model, determines the precision of the model to a great extent. In this paper, a new method is put forward to obtain the value of reference point which combines theoretical calculation and field investigation results. Comparing the proposed method with traditional method, it shows that the new method can promote the quality of CPT-based model by improving the accuracy in simulating travelers' route choice behaviors based on transit trip investigation from Nanjing City, China. The proposed method is of great significance to logical transit planning and management, and to some extent makes up the defect that obtaining the reference point is solely based on qualitative analysis.

  12. An Expert System For Multispectral Threat Assessment And Response

    NASA Astrophysics Data System (ADS)

    Steinberg, Alan N.

    1987-05-01

    A concept has been defined for an automatic system to manage the self-defense of a combat aircraft. Distinctive new features of this concept include: a. the flexible prioritization of tasks and coordinated use of sensor, countermeasures, flight systems and weapons assets by means of an automated planning function; b. the integration of state-of-the-art data fusion algorithms with event prediction processing; c. the use of advanced Artificial Intelligence tools to emulate the decision processes of tactical EW experts. Threat Assessment functions (a) estimate threat identity, lethality and intent on the basis of multi-spectral sensor data, and (b) predict the time to critical events in threat engagements (e.g., target acquisition, tracking, weapon launch, impact). Response Management functions (a) select candidate responses to reported threat situations; (b) estimate the effects of candidate actions on survival; and (c) coordinate the assignment of sensors, weapons and countermeasures with the flight plan. The system employs Finite State Models to represent current engagements and to predict subsequent events. Each state in a model is associated with a set of observable features, allowing interpretation of sensor data and adaptive use of sensor assets. Defined conditions on state transitions allow prediction of times to critical future states and are used in planning self-defensive responses, which are designed either to impede a particular state transition or to force a transition to a lower threat state.

  13. Transition Planning for Foster Youth

    ERIC Educational Resources Information Center

    Geenen, Sarah J.; Powers, Laurie E.

    2006-01-01

    The study evaluated the IEPs/Individualized Transition Plans of 45 students who were in special education and foster care, and compared them to the plans of 45 students who were in special education only. Results indicate that the transition plans of foster youth with disabilities were poor in quality, both in absolute terms and in comparison to…

  14. Transit planning and research reports : an annotated bibliography

    DOT National Transportation Integrated Search

    1995-08-01

    This is the third edition of the Transit Planning and Research Reports: An Annotated Bibliography. It references the most current and available planning and research reports published as of August 1995 and sponsored by the Federal Transit Administrat...

  15. 36 CFR 219.35 - Transition.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 219.35 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE PLANNING National Forest System Land and Resource Management Planning Applicability and Transition § 219.35 Transition. (a.... (b) Until the Department promulgates superseding planning regulations pursuant to the National Forest...

  16. Transition Planning for Youth with Special Health Care Needs (YSHCN) in Illinois Schools

    ERIC Educational Resources Information Center

    Bargeron, Jodie; Contri, Darcy; Gibbons, Linda J.; Ruch-Ross, Holly S.; Sanabria, Kathy

    2015-01-01

    "Transition Planning for Youth with Special Health Care Needs (YSHCN)" chronicles the research and work completed by agencies in Illinois to provide examples of best practice in transition planning. Increasing numbers of YSHCN survive into adulthood creating a need for focus on the transition to adult life for these young people,…

  17. Exploring Asperger's Syndrome, Schlossberg's Transition Theory and Federally Mandated Transition Planning: Seeking Improvements

    ERIC Educational Resources Information Center

    Spencer, Tracy Lynne Wright Lyons

    2013-01-01

    Federally mandated transition planning has done little to improve the postsecondary outcomes of people with Asperger's syndrome. Current high school transition planning for students with Asperger's attempts to address some of these areas through family involvement, community inclusion, and the active participation of the student in…

  18. Transit development plan for the Yuma regional area

    DOT National Transportation Integrated Search

    1993-12-16

    The purpose of this Transit Development Pan (TDP) is to indicate how transit could be implemented in the Yuma area, if and when, the local agencies decide to initiate public transit and utilize Federal Transit Administration (FTA) funds. The Plan dem...

  19. Infrared Imaging of Boundary Layer Transition Flight Experiments

    NASA Technical Reports Server (NTRS)

    Berry, Scott A.; Horvath, Thomas J., Jr.; Schwartz, Richard; Ross, Martin; Anderson, Brian; Campbell, Charles H.

    2008-01-01

    The Hypersonic Thermodynamic Infrared Measurement (HYTHIRM) project is presently focused on near term support to the Shuttle program through the development of an infrared imaging capability of sufficient spatial and temporal resolution to augment existing on-board Orbiter instrumentation. Significant progress has been made with the identification and inventory of relevant existing optical imaging assets and the development, maturation, and validation of simulation and modeling tools for assessment and mission planning purposes, which were intended to lead to the best strategies and assets for successful acquisition of quantitative global surface temperature data on the Shuttle during entry. However, there are longer-term goals of providing global infrared imaging support to other flight projects as well. A status of HYTHIRM from the perspective of how two NASA-sponsored boundary layer transition flight experiments could benefit by infrared measurements is provided. Those two flight projects are the Hypersonic Boundary layer Transition (HyBoLT) flight experiment and the Shuttle Boundary Layer Transition Flight Experiment (BLT FE), which are both intended for reducing uncertainties associated with the extrapolation of wind tunnel derived transition correlations for flight application. Thus, the criticality of obtaining high quality flight data along with the impact it would provide to the Shuttle program damage assessment process are discussed. Two recent wind tunnel efforts that were intended as risk mitigation in terms of quantifying the transition process and resulting turbulent wedge locations are briefly reviewed. Progress is being made towards finalizing an imaging strategy in support of the Shuttle BLT FE, however there are no plans currently to image HyBoLT.

  20. Stark County Area Transportation Study - Transportation Improvement Program 1997-2000

    DOT National Transportation Integrated Search

    1996-05-01

    The Transportation Improvement Program (TIP) is the schedule of highway and transit improvements recommended for implementation within the next four years. It is, therefore, the end product of the transportation planning process. The TIP originates f...

  1. AAHPERD--Professions in Transition.

    ERIC Educational Resources Information Center

    Carter, Marcia Jean; And Others

    1991-01-01

    The fourth of five articles examining professionalization of associations within the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD) details the professionalization process, professionalization within AAHERPD, steps for defining professional standards, and a strategic plan for the collective associations. (SM)

  2. Experience Transitioning Models and Data at the NOAA Space Weather Prediction Center

    NASA Astrophysics Data System (ADS)

    Berger, Thomas

    2016-07-01

    The NOAA Space Weather Prediction Center has a long history of transitioning research data and models into operations and with the validation activities required. The first stage in this process involves demonstrating that the capability has sufficient value to customers to justify the cost needed to transition it and to run it continuously and reliably in operations. Once the overall value is demonstrated, a substantial effort is then required to develop the operational software from the research codes. The next stage is to implement and test the software and product generation on the operational computers. Finally, effort must be devoted to establishing long-term measures of performance, maintaining the software, and working with forecasters, customers, and researchers to improve over time the operational capabilities. This multi-stage process of identifying, transitioning, and improving operational space weather capabilities will be discussed using recent examples. Plans for future activities will also be described.

  3. 47 CFR 101.4 - Transition plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Transition plan. 101.4 Section 101.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses General Filing Requirements § 101.4 Transition plan. (a) All systems...

  4. 40 CFR 7.75 - Transition plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Handicap § 7.75 Transition plan. If structural changes to facilities are necessary to make the program or activity accessible to handicapped persons, a recipient must prepare a transition plan. (a...

  5. 40 CFR 7.75 - Transition plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Handicap § 7.75 Transition plan. If structural changes to facilities are necessary to make the program or activity accessible to handicapped persons, a recipient must prepare a transition plan. (a...

  6. 40 CFR 7.75 - Transition plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Handicap § 7.75 Transition plan. If structural changes to facilities are necessary to make the program or activity accessible to handicapped persons, a recipient must prepare a transition plan. (a...

  7. 40 CFR 7.75 - Transition plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Handicap § 7.75 Transition plan. If structural changes to facilities are necessary to make the program or activity accessible to handicapped persons, a recipient must prepare a transition plan. (a...

  8. 47 CFR 101.4 - Transition plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Transition plan. 101.4 Section 101.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses General Filing Requirements § 101.4 Transition plan. (a) All systems...

  9. 47 CFR 101.4 - Transition plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Transition plan. 101.4 Section 101.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses General Filing Requirements § 101.4 Transition plan. (a) All systems...

  10. 47 CFR 101.4 - Transition plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Transition plan. 101.4 Section 101.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses General Filing Requirements § 101.4 Transition plan. (a) All systems...

  11. 47 CFR 101.4 - Transition plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Transition plan. 101.4 Section 101.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses General Filing Requirements § 101.4 Transition plan. (a) All systems...

  12. GIS as a Sketch-Plan Tool to Replace Traditional Transit Route Planning Practice for College and University Communities

    ERIC Educational Resources Information Center

    Chaudhari, Jaydeep; Ye, Zhirui

    2010-01-01

    Auburn University--a prominent land-grant and comprehensive research institute in Alabama--is no exception to the need to grapple with transportation planning. Auburn launched its transit system (called "Tiger Transit") in 1997 to address the needs of student commuters and a shrinking parking supply. However, by 2007 Tiger Transit faced…

  13. 10 CFR 1042.230 - Transition plans.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Transition plans. 1042.230 Section 1042.230 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 1042.230 Transition plans. (a) Submission of...

  14. 10 CFR 1042.230 - Transition plans.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Transition plans. 1042.230 Section 1042.230 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 1042.230 Transition plans. (a) Submission of...

  15. 10 CFR 1042.230 - Transition plans.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Transition plans. 1042.230 Section 1042.230 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 1042.230 Transition plans. (a) Submission of...

  16. 10 CFR 1042.230 - Transition plans.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Transition plans. 1042.230 Section 1042.230 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 1042.230 Transition plans. (a) Submission of...

  17. 10 CFR 1042.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Transition plans. 1042.230 Section 1042.230 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 1042.230 Transition plans. (a) Submission of...

  18. USDOT Integrated Corridor Management (ICM) Initiative Transit Data Gaps for Rail Transit Systems Initial Planning Workshop Notes

    DOT National Transportation Integrated Search

    2008-06-23

    This document presents the notes taken at the USDOT Integrated Corridor Management (ICM) Transit Data Gaps for Rail Transit Systems Initial Planning Workshop. Different scenarios for handling increased demand on rail and bus transit systems are discu...

  19. Nurses' reasoning process during care planning taking pressure ulcer prevention as an example. A think-aloud study.

    PubMed

    Funkesson, Kajsa Helena; Anbäcken, Els-Marie; Ek, Anna-Christina

    2007-09-01

    Nurses' clinical reasoning is of great importance for the delivery of safe and efficient care. Pressure ulcer prevention allows a variety of aspects within nursing to be viewed. The aim of this study was to describe both the process and the content of nurses' reasoning during care planning at different nursing homes, using pressure ulcer prevention as an example. A qualitative research design was chosen. Seven different nursing homes within one community were included. Eleven registered nurses were interviewed. The methods used were think-aloud technique, protocol analysis and qualitative content analysis. Client simulation illustrating transition was used. The case used for care planning was in three parts covering the transition from hospital until 3 weeks in the nursing home. Most nurses in this study conducted direct and indirect reasoning in a wide range of areas in connection with pressure ulcer prevention. The reasoning focused different parts of the nursing process depending on part of the case. Complex assertations as well as strategies aiming to reduce cognitive strain were rare. Nurses involved in direct nursing care held a broader reasoning than consultant nurses. Both explanations and actions based on older ideas and traditions occurred. Reasoning concerning pressure ulcer prevention while care planning was dominated by routine thinking. Knowing the person over a period of time made a more complex reasoning possible. The nurses' experience, knowledge together with how close to the elderly the nurses work seem to be important factors that affect the content of reasoning.

  20. 28 CFR 54.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Educational institutions eligible to submit transition plans. 54.225 Section 54.225 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED... Coverage § 54.225 Educational institutions eligible to submit transition plans. (a) Application. This...

  1. Bicycle parking plan for Miami-Dade Transit : prepared for the Miami-Dade Metropolitan Planning Organization

    DOT National Transportation Integrated Search

    2002-01-01

    The purpose of the Bicycle Parking Plan for Miami-Dade Transit is to develop recommendations for new and improved bicycle parking facilities at Metrorail stations, park-and-ride lots and other transit hubs. In order to develop recommendations for new...

  2. 10 CFR 1042.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Educational institutions eligible to submit transition plans. 1042.225 Section 1042.225 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON... § 1042.225 Educational institutions eligible to submit transition plans. (a) Application. This section...

  3. 10 CFR 1042.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Educational institutions eligible to submit transition plans. 1042.225 Section 1042.225 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON... § 1042.225 Educational institutions eligible to submit transition plans. (a) Application. This section...

  4. 10 CFR 1042.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Educational institutions eligible to submit transition plans. 1042.225 Section 1042.225 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON... § 1042.225 Educational institutions eligible to submit transition plans. (a) Application. This section...

  5. 10 CFR 1042.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Educational institutions eligible to submit transition plans. 1042.225 Section 1042.225 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON... § 1042.225 Educational institutions eligible to submit transition plans. (a) Application. This section...

  6. 10 CFR 1042.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Educational institutions eligible to submit transition plans. 1042.225 Section 1042.225 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON... § 1042.225 Educational institutions eligible to submit transition plans. (a) Application. This section...

  7. An Overview of Transition Planning for Students Who Are Deafblind.

    PubMed

    Zatta, Mary; McGinnity, Betsy

    2016-01-01

    Children who are deafblind are one of the lowest-incidence yet most diverse groups receiving services mandated by the Individuals With Disabilities Education Improvement Act. Despite this population's diversity, the development of communication skills is critical for all children who are deafblind, and is the foundation on which good transition planning can be built. The authors describe key research findings and other professional literature on transition planning and services guided by the quality of life principle. The role of the individualized education program and case law in transition planning is discussed. Through a person-centered approach to transition planning, a coordinated set of activities designed to support the young adult in moving from school to postschool settings and activities is identified. The authors conclude that effective transition efforts will involve extensive collaboration among school and agency professionals, families, and the young adult who is deafblind.

  8. 10 CFR 5.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Educational institutions eligible to submit transition plans. 5.225 Section 5.225 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION ON THE BASIS OF SEX IN... institutions eligible to submit transition plans. (a) Application. This section applies to each educational...

  9. 10 CFR 5.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Educational institutions eligible to submit transition plans. 5.225 Section 5.225 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION ON THE BASIS OF SEX IN... institutions eligible to submit transition plans. (a) Application. This section applies to each educational...

  10. 10 CFR 5.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Educational institutions eligible to submit transition plans. 5.225 Section 5.225 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION ON THE BASIS OF SEX IN... institutions eligible to submit transition plans. (a) Application. This section applies to each educational...

  11. 10 CFR 5.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Educational institutions eligible to submit transition plans. 5.225 Section 5.225 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION ON THE BASIS OF SEX IN... institutions eligible to submit transition plans. (a) Application. This section applies to each educational...

  12. 10 CFR 5.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Educational institutions eligible to submit transition plans. 5.225 Section 5.225 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION ON THE BASIS OF SEX IN... institutions eligible to submit transition plans. (a) Application. This section applies to each educational...

  13. Occupational Therapists' Beliefs and Involvement with Secondary Transition Planning

    ERIC Educational Resources Information Center

    Mankey, Tina A.

    2011-01-01

    The purpose of the study was to investigate the involvement and beliefs toward possible involvement of occupational therapy in one geographical area of the United States in regard to secondary transition planning for students with disabilities. Secondary transition planning is mandated by federal legislature and occurs while the student is…

  14. 47 CFR 301.200 - Requests to resolve disputes.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... a Federal Entity regarding the execution, timing, or cost of the Transition Plan submitted by the... Transition Plan submitted by a Federal Entity must be raised, in the first instance, with the officer or employee of the Federal Entity identified in the Transition Plan as being responsible for the relocation or...

  15. 47 CFR 301.200 - Requests to resolve disputes.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... a Federal Entity regarding the execution, timing, or cost of the Transition Plan submitted by the... Transition Plan submitted by a Federal Entity must be raised, in the first instance, with the officer or employee of the Federal Entity identified in the Transition Plan as being responsible for the relocation or...

  16. 40 CFR 7.75 - Transition plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of Handicap § 7.75 Transition plan. If structural changes to facilities are necessary to make the...) Requirements. The transition plan must set forth the steps needed to complete the structural changes required... the OCR upon request and to the public for inspection at either the site of the project or at the...

  17. 47 CFR 301.120 - Reports on agency Transition Plans.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Reports on agency Transition Plans. 301.120 Section 301.120 Telecommunication NATIONAL TELECOMMUNICATIONS AND INFORMATION ADMINISTRATION, DEPARTMENT OF COMMERCE RELOCATION OF AND SPECTRUM SHARING BY FEDERAL GOVERNMENT STATIONS Technical Panel § 301.120 Reports on agency Transition Plans. (a)...

  18. Learning and adaptation in waterfowl conservation: By chance or by design?

    USGS Publications Warehouse

    Johnson, Fred A.; Case, David J.; Humburg, Dale H.

    2016-01-01

    The most recent revision of the North American Waterfowl Management Plan seeks to increase the adaptive capacity of the management enterprise to cope with accelerating changes in climate, land-use patterns, agency priorities, and the waterfowl and wetlands constituency. Institutional and cultural changes of the magnitude envisioned are necessarily slow, messy processes, involving many actors who at a minimum must agree on the need for change. Waterfowl conservation now finds itself in the transition zone between business as usual and some new mode of operation. There are at least 2 different perspectives of this transition: one focuses on process, accountability, and planning for change; another focuses on solutions generated from an organic process of creativity, information sharing, and risk-taking. Both of these views have something to contribute, but some in the wildlife management enterprise may tend to focus more on the first view. We suggest that ideas from panarchy theory, especially those related to the behaviors of complex adaptive systems, can help waterfowl managers better understand and foster the institutional changes they seek.

  19. Improving the quality of transition and transfer of care in young adults with congenital heart disease.

    PubMed

    Everitt, Ian K; Gerardin, Jennifer F; Rodriguez, Fred H; Book, Wendy M

    2017-05-01

    The transition and transfer from pediatric to adult care is becoming increasingly important as improvements in the diagnosis and management of congenital heart disease allow patients to live longer. Transition is a complex and continuous process that requires careful planning. Inadequate transition has adverse effects on patients, their families and healthcare delivery systems. Currently, significant gaps exist in patient care as adolescents transfer to adult care and there are little data to drive the informed management of transition and transfer of care in adolescent congenital heart disease patients. Appropriate congenital heart disease care has been shown to decrease mortality in the adult population. This paper reviews the transition and transfer of care processes and outlines current congenital heart disease specific guidelines in the United States and compares these recommendations to Canadian and European guidelines. It then reviews perceived and real barriers to successful transition and identifies predictors of success during transfer to adult congenital heart disease care. Lastly, it explores how disease-specific markers of outcomes and quality indicators are being utilized to guide transition and transfer of care in other chronic childhood illnesses, and identifies existing knowledge gaps and structural impediments to improving the management of transition and transfer among congenital heart disease patients. © 2017 Wiley Periodicals, Inc.

  20. Resource Allocation Planning Helper (RALPH): Lessons learned

    NASA Technical Reports Server (NTRS)

    Durham, Ralph; Reilly, Norman B.; Springer, Joe B.

    1990-01-01

    The current task of Resource Allocation Process includes the planning and apportionment of JPL's Ground Data System composed of the Deep Space Network and Mission Control and Computing Center facilities. The addition of the data driven, rule based planning system, RALPH, has expanded the planning horizon from 8 weeks to 10 years and has resulted in large labor savings. Use of the system has also resulted in important improvements in science return through enhanced resource utilization. In addition, RALPH has been instrumental in supporting rapid turn around for an increased volume of special what if studies. The status of RALPH is briefly reviewed and important lessons learned from the creation of an highly functional design team are focused on through an evolutionary design and implementation period in which an AI shell was selected, prototyped, and ultimately abandoned, and through the fundamental changes to the very process that spawned the tool kit. Principal topics include proper integration of software tools within the planning environment, transition from prototype to delivered to delivered software, changes in the planning methodology as a result of evolving software capabilities and creation of the ability to develop and process generic requirements to allow planning flexibility.

  1. SU-F-P-01: Changing Your Oncology Information System: A Detailed Process and Lessons Learned

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Abing, C

    Purpose: Radiation Oncology departments are faced with many options for pairing their treatment machines with record and verify systems. Recently, there is a push to have a single-vendor-solution. In order to achieve this, the department must go through an intense and rigorous transition process. Our department has recently completed this process and now offer a detailed description of the process along with lessons learned. Methods: Our cancer center transitioned from a multi-vendor department to a single-vendor department over the 2015 calendar year. Our staff was partitioned off into superuser groups, an interface team, migration team, and go-live team. Six monthsmore » after successful implementation, a detailed survey was sent to the radiation oncology department to determine areas for improvement as well as successes in the process. Results: The transition between record and verify systems was considered a complete success. The results of the survey did point out some areas for improving inefficiencies with our staff; both interactions between each other and the vendors. Conclusion: Though this process was intricate and lengthy, it can be made easier with careful planning and detailed designation of project responsibilities. Our survey results and retrospective analysis of the transition are valuable to those wishing to make this change.« less

  2. The Transition from Business as Usual to Funding for Results: State Efforts To Integrate Performance Measures in the Higher Education Budgetary Process.

    ERIC Educational Resources Information Center

    Albright, Brenda Norman

    This report describes a 1997 survey which examined performance funding in higher education and offers guidelines for states' and institutions' explorations of performance-based funding. Among highlights of the survey are: 32 states are planning or using performance measures in the state budget process; legislatively mandated initiatives are…

  3. Transition from an open-plan to a two-cot neonatal intensive care unit: a participatory action research approach.

    PubMed

    Broom, Margaret; Gardner, Anne; Kecskes, Zsuzsoka; Kildea, Sue

    2017-07-01

    To facilitate staff transition from an open-plan to a two-cot neonatal intensive care unit design. In 2012, an Australian regional neonatal intensive care unit transitioned from an open-plan to a two-cot neonatal intensive care unit design. Research has reported single- and small-room neonatal intensive care unit design may negatively impact on the distances nurses walk, reducing the time they spend providing direct neonatal care. Studies have also reported nurses feel isolated and need additional support and education in such neonatal intensive care units. Staff highlighted their concerns regarding the impact of the new design on workflow and clinical practice. A participatory action research approach. A participatory action group titled the Change and Networking Group collaborated with staff over a four-year period (2009-2013) to facilitate the transition. The Change and Networking Group used a collaborative, cyclical process of planning, gathering data, taking action and reviewing the results to plan the next action. Data sources included meeting and workshop minutes, newsletters, feedback boards, subgroup reports and a staff satisfaction survey. The study findings include a description of (1) how the participatory action research cycles were used by the Change and Networking Group: providing examples of projects and strategies undertaken; and (2) evaluations of participatory action research methodology and Group by neonatal intensive care unit staff and Change and Networking members. This study has described the benefits of using participatory action research to facilitate staff transition from an open-plan to a two-cot neonatal intensive care unit design. Participatory action research methodology enabled the inclusion of staff to find solutions to design and clinical practice questions. Future research is required to assess the long-term effect of neonatal intensive care unit design on staff workload, maintaining and supporting a skilled workforce as well as the impact of a new neonatal intensive care unit design on the neonatal intensive care unit culture. A supportive work environment for staff is critical in providing high-quality health care. © 2016 John Wiley & Sons Ltd.

  4. Concept for a Satellite-Based Advanced Air Traffic Management System : Volume 6. Development and Transition Plans.

    DOT National Transportation Integrated Search

    1974-02-01

    The volume presents the plans for implementing the Satellite-Based Advanced Air Traffic Management System (SAATMS) described in Volumes II, III, and IV. Two plans are presented: an RDT&E plan and a transition plan. The RDT&E plan is presented as a se...

  5. Succession Planning and Management: The Backbone of the Radiology Group's Future.

    PubMed

    Donner, E Michael; Gridley, Daniel; Ulreich, Sidney; Bluth, Edward I

    2017-01-01

    The transition of leadership within radiology practices is often not a planned replacement process with formal development of potential future leaders. To ensure their ongoing success, however, practices need to develop comprehensive succession plans that include a robust developmental program for potential leaders consisting of mentoring, coaching, structured socialization, 360-degree feedback, developmental stretch assignments, job rotation, and formal education. Succession planning and leadership development will be necessary in the future for a practice to be successful in its business relationships and to be financially viable. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  6. 5 CFR 330.602 - Agency plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Agency plans. 330.602 Section 330.602... PLACEMENT (GENERAL) Agency Career Transition Assistance Plans (CTAP) for Local Surplus and Displaced Employees § 330.602 Agency plans. (a) Each agency will establish a Career Transition Assistance Plan (CTAP...

  7. Transition Planning for Students with Chronic Health Conditions. Position Statement

    ERIC Educational Resources Information Center

    Baszler, Rita; Rochkes, Laura; Dolatowski, Rosemary; Mendes, Irene; Yow, Barbara; Butler, Sarah; Fekaris, Nina

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that all children with chronic health conditions should receive coordinated and deliberate transition planning to maximize lifelong functioning and well-being. Transition planning refers to a coordinated set of activities to assist students with chronic health conditions to…

  8. Transition Planning Guide: From School to Adult Life.

    ERIC Educational Resources Information Center

    Thompson, Sandra Jespersen

    The guide is intended to assist disabled students, their families, and professionals working with them to become familiar with the variety of adult services available and to create a systematic plan for transition from school to adult life. The first section considers the logistics of transition planning and includes a description of the planning…

  9. A Vocational/Special Education Individualized Transitional Planner (School to Work).

    ERIC Educational Resources Information Center

    Youshock, Joseph M.; Gilgannon, Nancy

    This individualized transition plan manual can be used by special and vocational educators in developing a curriculum plan for handicapped or special needs learners based on career goals and job selection. The introductory sections provide a description of the individual transition planning model, an outline of communication skills, and a list of…

  10. Transitioning from pediatric care to adult care for adolescents with special health care needs: dentist perspectives (part 2)

    PubMed Central

    Bayarsaikhan, Zoljargal; Cruz, Stephanie; Neff, John; Chi, Donald L.

    2015-01-01

    Purpose To understand dental care transitions for adolescents with special health care needs (ASHCN) from the dentist perspective. Methods We conducted semi-structured interviews with 13 dentists (seven pediatric dentists and six general dentists) to learn about the dental transition process for ASHCN. Results Most dentists believed transitions from child-centered to adult-centered dental care were important for ASHCN. Dentists reported two main barriers to transitions: low dental reimbursements by Medicaid and a shortage of general dentists qualified or willing to treat ASHCN. Pediatric and general dentists reported playing complimentary roles in facilitating transitions for ASHCN and their families. Conclusions Dentists acknowledged the challenges that ASHCN and their families face in transitioning to adult-centered care and believed in the importance of ASHCN maintaining a dental home. Pediatric dentists and general dentists play a key role in working together to implement dental transition plans for the ASHCN and to ensure successful dental transitions. PMID:26531088

  11. Transitioning from Pediatric to Adult Dental Care for Adolescents with Special Health Care Needs: Dentist Perspectives--Part Two.

    PubMed

    Bayarsaikhan, Zoljargal; Cruz, Stephanie; Neff, John; Chi, Donald L

    2015-01-01

    The purpose of this study was to understand dental care transitions for adolescents with special health care needs (ASHCNs) from the dentist perspective. We conducted semi-structured interviews with 13 dentists (seven pediatric dentists and six general dentists) to learn about the dental transition process for ASHCNs. Most dentists believed transitions from child-centered to adult-centered dental care were important for ASHCNs. Dentists reported two main barriers to transitions: (1) low dental reimbursements by Medicaid; and (2) a shortage of general dentists qualified or willing to treat ASHCNs. Pediatric and general dentists reported playing complimentary roles in facilitating transitions for ASHCNs and their families. Dentists acknowledged the challenges that adolescents with special health care needs and their families face in transitioning to adult-centered care and believed in the importance of ASHCNs maintaining a dental home. Pediatric dentists and general dentists play a key role in working together to implement dental transition plans for ASHCNs and to ensure successful dental transitions.

  12. Transfers and transitions between child and adult mental health services.

    PubMed

    Paul, Moli; Ford, Tamsin; Kramer, Tami; Islam, Zoebia; Harley, Kath; Singh, Swaran P

    2013-01-01

    Transfer of care from one healthcare provider to another is often understood as a suboptimal version of the process of transition. To separate and evaluate concepts of transfer and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). In a retrospective case-note survey of young people reaching the upper age boundary at six English CAMHS, optimal transition was evaluated using four criteria: continuity of care, parallel care, a transition planning meeting and information transfer. Of 154 cases, 76 transferred to AMHS. Failure to transfer resulted mainly from non-referral by CAMHS (n = 12) and refusal by service users (n = 12) rather than refusal by AMHS (n = 7). Four cases met all criteria for optimal transition, 13 met none; continuity of care (n = 63) was met most often. Transfer was common but good transition rare. Reasons for failure to transfer differ from barriers to transition. Transfer should be investigated alongside transition in research and service development.

  13. A model of succession planning for mental health nurse practitioners.

    PubMed

    Hampel, Sally; Procter, Nicholas; Deuter, Kate

    2010-08-01

    This paper reviews current literature on succession planning for mental health nurse practitioners (NPs) and discusses a model of succession planning that is underpinned by principals of leadership development, workforce participation and client engagement. The paper identifies succession planning as a means of managing a present and future workforce, while simultaneously addressing individual and organizational learning and practice development needs. A discussion of the processes attendant upon sustainable succession planning - collegial support, career planning and development, information exchange, capacity building, and mentoring is framed within the potential interrelationships between existing NP, developing NP and service directors and/or team managers. Done effectively and in partnership with wider clinical services, succession planning has the potential to build NP leadership development and leadership transition more broadly within mental health services.

  14. Early Discharge Planning and Improved Care Transitions: Pre-Admission Assessment for Readmission Risk in an Elective Orthopedic and Cardiovascular Surgical Population

    PubMed Central

    Mola, Ana; Rosenfeld, Peri; Ford, Shauna

    2016-01-01

    Background/Methods: Readmission prevention is a marker of patient care quality and requires comprehensive, early discharge planning for safe hospital transitions. Effectively performed, this process supports patient satisfaction, efficient resource utilization, and care integration. This study developed/tested the utility of a predictive early discharge risk assessment with 366 elective orthopedic/cardiovascular surgery patients. Quality improvement cycles were undertaken for the design and to inform analytic plan. An 8-item questionnaire, which includes patient self-reported health, was integrated into care managers’ telephonic pre-admission assessments during a 12-month period. Results: Regression models found the questionnaire to be predictive of readmission (p ≤ .005; R2 = .334) and length-of-stay (p ≤ .001; R2 = .314). Independent variables of “lives-alone” and “self-rated health” were statistically significant for increased readmission odds, as was “self-rated health” for increased length-of-stay. Quality measures, patient experience and increased rates of discharges-to-home further supported the benefit of embedding these questions into the pro-active planning process. Conclusion: The pilot discharge risk assessment was predictive of readmission risk and length-of-stay for elective orthopedic/cardiovascular patients. Given the usability of the questionnaire in advance of elective admissions, it can facilitate pro-active discharge planning essential for producing quality outcomes and addressing new reimbursement methodologies for continuum-based episodes of care. PMID:27616965

  15. Survivorship Care Plan Information Needs: Perspectives of Safety-Net Breast Cancer Patients.

    PubMed

    Burke, Nancy J; Napoles, Tessa M; Banks, Priscilla J; Orenstein, Fern S; Luce, Judith A; Joseph, Galen

    2016-01-01

    Despite the Institute of Medicine's (IOM) 2005 recommendation, few care organizations have instituted standard survivorship care plans (SCPs). Low health literacy and low English proficiency are important factors to consider in SCP development. Our study aimed to identify information needs and survivorship care plan preferences of low literacy, multi-lingual patients to support the transition from oncology to primary care and ongoing learning in survivorship. We conducted focus groups in five languages with African American, Latina, Russian, Filipina, White, and Chinese medically underserved breast cancer patients. Topics explored included the transition to primary care, access to information, knowledge of treatment history, and perspectives on SCPs. Analysis of focus group data identified three themes: 1) the need for information and education on the transition between "active treatment" and "survivorship"; 2) information needed (and often not obtained) from providers; and 3) perspectives on SCP content and delivery. Our data point to the need to develop a process as well as written information for medically underserved breast cancer patients. An SCP document will not replace direct communication with providers about treatment, symptom management and transition, a communication that is missing in participating safety-net patients' experiences of cancer care. Women turned to peer support and community-based organizations in the absence of information from providers. "Clear and effective" communication of survivorship care for safety-net patients requires dedicated staff trained to address wide-ranging information needs and uncertainties.

  16. Planning Programs for Transescents.

    ERIC Educational Resources Information Center

    Eichhorn, Donald H.

    "Transescents" -- the prefix "trans" meaning "to go across" and the suffix "escent" meaning "to become something" -- are young people in transition from childhood to adolescence. The middle school organization presents educators with an opportunity for improved educational processes uniquely suited to students of this age group. Transescents are…

  17. Designing a personal health application for older adults to manage medications: a comprehensive case study.

    PubMed

    Siek, Katie A; Khan, Danish U; Ross, Stephen E; Haverhals, Leah M; Meyers, Jane; Cali, Steven R

    2011-10-01

    Older adults with multiple chronic conditions often go through care transitions where they move between care facilities or providers during their treatment. These transitions are often uncoordinated and can imperil patients by omitted, duplicative, or contradictory care plans. Older adults sometimes feel overwhelmed with the new responsibility of coordinating the care plan with providers and changing their medication regimes. In response, we developed a Lesser General Public License (LGPL) open source, web-based Personal Health Application (PHA) using an iterative participatory design process that provided older adults and their caregivers the ability to manage their personal health information. In this paper, we document the PHA design process from low-fidelity prototypes to high-fidelity prototypes over the course of six user studies. Our findings establish the imperative need for interdisciplinary research and collaboration among all stakeholders to create effective PHAs. We conclude with design guidelines that encourage researchers to gradually increase functionality as users become more proficient.

  18. Identifying a Transition Competency Domain Structure: Assisting Transition Planning Teams to Understand Roles and Responsibilities of Community Partners

    ERIC Educational Resources Information Center

    Plotner, Anthony; Trach, John; Shogren, Karrie

    2012-01-01

    The special education and rehabilitation literature is replete with articles examining transition planning, services and supports; however, transition models have typically been developed for the school context and not focused on other transition team members. These school-based models are important; however, models developed from the perspectives…

  19. Are NCAA Division I Athletes Prepared for End-of-Athletic-Career Transition? A Literature Review.

    PubMed

    Miller, Lauren; Buttell, Frederick P

    2018-01-01

    This review focuses on research that specifically highlights the constructs, paradigms, and factors that impact the end-of-athletic-career transition. However, the majority of the research conducted around this topic is established outside of the United States and regarding professional athletes. The National Collegiate Athletic Association (NCAA) is one of the most dominant athletic institutions in the world, and arguably transitions the most end-of-athletic-career athletes per year, and minimal research exists on this specific collegiate athletic population. The purpose of this review is to review the existent literature on this topic and highlight the leading research and components impacting athletes during the end-of-athletic-career transition in order to inform future research and practices with the college athletics population. This review utilizes a Client Oriented Practical Evidence Search question as an Evidence Based Practice approach to guide the literature search and literature review process while identifying the leading research contributing to end-of-athletic-career transition. Following rigorous search criteria, a total of 14 articles were included in the literature review. The selected articles identified central constructs impacting the athletic career transition process, including retirement planning, identity loss, coping skills, and support systems. Additional research is warranted in the United States, particularly with the NCAA collegiate athletes in order to better understand the end-of-athletic-career transition process, as well as instituting interventions to increase resilience in college senior NCAA athletes transitioning out of sport.

  20. Succession planning: a call to action for nurse executives.

    PubMed

    Trepanier, Sylvain; Crenshaw, Jeannette T

    2013-10-01

    To discuss the organisational benefits of strategic succession planning in acute care hospital settings as a responsibility of chief nurse executives. A formal succession planning process is crucial to the financial and operational viability and sustainability of acute care hospitals. A succession plan is an essential business strategy that promotes effective leadership transition and continuity while maintaining productivity. Nursing and business literature were reviewed; reports contrasting institutions with and without succession plans were examined; and, operational implications were considered. It is imperative that chief nurse executives respond to the business benefits of an effective succession planning programme, identify common barriers and solutions, and implement best practices for a successful strategic succession planning programme. A strategic succession planning programme may offer many benefits to an acute care hospital, including improved retention rates, increased staff engagement and enhanced financial performance. Considering the ageing nursing workforce and the potential increase in demand for nursing services in the near future, nurse executives and other nurse leaders must actively engage in a formal succession planning process. A formal succession planning programme will help to provide strategic leadership continuity, operational effectiveness and improved quality of care. © 2013 John Wiley & Sons Ltd.

  1. Everett Transit 1994,Comprehensive Plan

    DOT National Transportation Integrated Search

    1994-09-07

    Everett Transit's Comprehensive Plann provides the long-term framework to guide : the development of public transportation services in Everett over the next : twenty years. In this plan, Everett Transit clearly defines its mission, future : direction...

  2. Coherence and Compliance of Kohler's Model for Successful Transition Planning with Classified Special Education Students

    ERIC Educational Resources Information Center

    Karahalis, John

    2011-01-01

    This researcher addresses whether transition planning with classified special education students is being implemented in accordance with the Kohler model for successful transition planning. Using archival data available from two high schools, one with a specialized on campus program and the latter as an excluded site specializing in classified…

  3. Manned space flight in transition

    NASA Technical Reports Server (NTRS)

    Drucker, E. E.; Pooler, W. S.; Wilemon, D. L.; Wood, B. D.

    1973-01-01

    A study was conducted to analyze the reorientation of NASA programs in the post-Apollo period. The study is an external view of NASA by unbiased observers as an input to and aid in the decision making process concerning near and long term planning. The subjects discussed are: (1) the near-term NASA scenario; (2) organization of field centers; (3) planning activities; and (4) operational activities. A summary of the recommendations arising as a result of the study is presented.

  4. A key to success: optimizing the planning process

    NASA Astrophysics Data System (ADS)

    Turk, Huseyin; Karakaya, Kamil

    2014-05-01

    By adopting The NATO Strategic Concept Document in 2010, some important changes in the perception of threat and management of crisis were introduced. This new concept, named ''Comprehensive Approach'', includes the precautions of pre-crisis management, applications of crisis-duration management and reconstruction phase of post-intervention management. NATO will be interested in not only the political and military options , but also social, economical and informational aspects of crisis. NATO will take place in all phases of conflict. The conflicts which occur outside the borders of NATO's nations and terrorism are perceived as threat sources for peace and stability. In addition to conventional threats, cyber attacks which threaten network-supported communication systems, preventing applications from accessing to space that will be used in different fields of life. On the other hand, electronic warfare capabilities which can effect us negatively are added to threat list as new threats. In the process in which military is thought as option, a harder planning phase is waiting for NATO's decision makers who struggle for keeping peace and security. Operation planning process which depends on comprehensive approach, contains these steps: Situational awareness of battlefield, evaluation of the military intervention options, orientation, developing an operation plan, reviewing the plan and transition phases.1 To be successful in theater which is always changing with the technological advances, there has to be an accurate and timely planning on the table. So, spending time for planning can be shown as one of the biggest problem. In addition, sustaining situational awareness which is important for the whole operation planning process, technical command and control hitches, human factor, inability to determine the center of gravity of opponent in asymmetrical threat situations can be described as some of the difficulties in operation planning. In this study, a possible air operation planning process is analyzed according to a comprehensive approach. The difficulties of planning are identified. Consequently, for optimizing a decisionmaking process of an air operation, a planning process is identified in a virtual command and control structure.

  5. Transit in Greater Arizona : final report.

    DOT National Transportation Integrated Search

    2016-07-01

    This study informed the Arizona Department of Transportations future State Transit Plan. The study : addressed transit planning and use with emphasis on Greater Arizona, those portions of the state that : consist primarily of rural areas or smalle...

  6. Transit in greater Arizona : final report.

    DOT National Transportation Integrated Search

    2016-07-01

    This study informed the Arizona Department of Transportations future State Transit Plan. The study : addressed transit planning and use with emphasis on Greater Arizona, those portions of the state that : consist primarily of rural areas or smalle...

  7. Financial Planning in Transit : Use of Commercially Available Microcomputer Software

    DOT National Transportation Integrated Search

    1983-11-01

    This report addresses the potential of using commercially available microcomputer software for transit financial planning activities. Discussions with transit operators identified the need for inexpensive, easy to use software for ridership and fare ...

  8. Transit green building action plan : report to congress

    DOT National Transportation Integrated Search

    2009-06-04

    The explanatory statement accompanying the fiscal year 2009 Omnibus appropriations : act1 directed the Federal Transit Administration (FTA) to submit a transit facility green : building action plan to the House and Senate Committees on Appropriati...

  9. Negotiating the COAPRT Learning Outcomes Transition Using Quality Management Tools: A Case Study of the COAPRT Beta Test Site

    ERIC Educational Resources Information Center

    Ellis, Gary D.

    2014-01-01

    This paper is a case study. It tells the story of the process that the Council on Accreditation for Parks, Recreation, Tourism and Related Professions beta test site created its learning outcomes assessment program. A planning process was used that has evolved from quality management philosophy and practice: DMADV. Use of DMADV required precise…

  10. Sensors and signal processing for high accuracy passenger counting : final report.

    DOT National Transportation Integrated Search

    2009-03-05

    It is imperative for a transit system to track statistics about their ridership in order to plan bus routes. There exists a wide variety of methods for obtaining these statistics that range from relying on the driver to count people to utilizing came...

  11. [The transition process from the intensive care unit to the ward: a review of the literature].

    PubMed

    Vázquez Calatayud, M; Portillo, M C

    2013-01-01

    The optimum transition process from the ICU to the ward is key to avoiding the appearance of anxiety in the patient and family, increase of re-admissions in the ICU with the consequent increase in costs and jeopardization to the patient's safety. 1) To identify, study and give a critical presentation of the existing evidence on how patients, families and nurses experience the transition from ICU to the ward; 2) to analyze the possible interventions available for the development of an optimum transition process. A review was made of the evidence available in the main databases. In addition, several journals specialized in Intensive Care were reviewed. Studies with a qualitative, quantitative or mixed approach and reviews on the subject with a systematic methodology or narrative reviews were included. A total of 23 papers were selected for review, 10 of which were qualitative studies, 11 quantitative and two had combined methodology. «Transfer anxiety» was identified after the analysis of these articles as one of the recurring aspects. Discrepancies regarding who should take responsibility for the preparation of the transition process and when it should be performed were also found. In the literature reviewed, several interventions have been proposed to facilitate an optimal transition process such as developing information brochures, creating a profile of practicing nursing liaison between the ICU and the ward and ICU discharge report. This review emphasizes the importance of taking into account the perspectives of patients, families and nurses to perform optimal planning of the transition of the patient from the ICU to the ward to ensure their safety. Copyright © 2012 Elsevier España, S.L. y SEEIUC. All rights reserved.

  12. Assessment to Guide Individualized Transition Plans from School to Post-School for Children Ages 14+ with Moderate Disabilities

    ERIC Educational Resources Information Center

    Skidmore, Kevin

    2014-01-01

    As a part of the Individualized Education Plan (IEP), special education teachers work along with their student with special needs and their parent(s)/guardian(s) to create and implement Individualized Transition Plans (ITP) to assist the student with their transition to the post-school environment. As mandated by Individuals with Disabilities…

  13. The Effect of Student-Directed Transition Planning with a Computer-Based Reading Support Program on the Self-Determination of Students with Disabilities

    ERIC Educational Resources Information Center

    Lee, Youngsun; Wehmeyer, Michael L.; Palmer, Susan B.; Williams-Diehm, Kendra; Davies, Daniel K.; Stock, Steven E.

    2011-01-01

    The purpose of this study was to investigate the impact of student-directed transition planning instruction ("Whose Future Is It Anyway?" curriculum) with a computer-based reading support program ("Rocket Reader") on the self-determination, self-efficacy and outcome expectancy, and transition planning knowledge of students with disabilities. This…

  14. Transition from paediatric care to adult care for patients with mucopolysaccharidosis.

    PubMed

    Couce, M L; Del Toro, M; García-Jiménez, M C; Gutierrez-Solana, L; Hermida-Ameijeiras, Á; López-Rodríguez, M; Pérez-López, J; Torralba, M Á

    Mucopolysaccharidosis are multisystem diseases that require large multidisciplinary teams for their care. Specific recommendations are therefore needed for the transition from childhood to adulthood in this patient group. To overcome the barriers that might arise during the transition, the authors consider it essential to implement a flexible plan with a coordinator for the entire process, systematising the information through a standardised paediatric discharge report and educating the patient and their family about the disease, showing the characteristics of the healthcare system in this new stage. The final objective is that, once the transition to adulthood has been completed, the patient's autonomy and potential development are maximised and that the patient receives appropriate healthcare during this transition. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  15. Short-range transit plan for the Phoenix urbanized area : fiscal years 1982-1986

    DOT National Transportation Integrated Search

    1981-07-21

    Report presents the FY 1980-81 update of the Phoenix, Arizona, urbanized area Short Range Transit Plan. It describes a five-year plan to guide improvements of the public transportation sytem. Planning aspects of the report will be incorporated into t...

  16. Shared Care of Childhood Cancer Survivors: A Telemedicine Feasibility Study.

    PubMed

    Costello, Aimee G; Nugent, Bethany D; Conover, Noelle; Moore, Amanda; Dempsey, Kathleen; Tersak, Jean M

    2017-12-01

    With an increasing number of childhood cancer survivors (CCSs), determining the best model of survivorship transition care is becoming a growing priority. Shared care between pediatric oncology and adult primary care is often necessary, making survivorship a time of transition, but effective standard models are lacking. We sought to provide a more integrated approach to transition using telemedicine. Recruited primary care provider/CCS dyads were instructed to log-in to a password-protected virtual meeting room using telemedicine equipment at the time or a regularly scheduled office visit. Dyads were joined by a pediatric survivorship clinic team member who conducted the telemedicine portion of the transition visit, which consisted of the review of an individualized treatment summary and care plan. Postquestionnaires were developed to evaluate key points such as fund of knowledge, satisfaction with the visit, and effectiveness of this electronic tool. There were 19 transition visits conducted, 13 of which used the telemedicine equipment as planned. Those that did not use the equipment were primarily unable to due to technical difficulties. Postquestionnaires were overall positive, confirming increased knowledge, comfort and abilities, and patient satisfaction in survivorship care. Negative comments were primarily related to equipment difficulties. A gap still remains in helping CCSs transition from oncology to primary care and this pilot study offered insights into how we might better bridge that gap through the use of telemedicine. Further research is needed to refine the transition process for CCSs, including evaluation and testing models for standard of care.

  17. The golden goose in the crosshairs: the transition to defined contribution pension plans in the public sector: unintended consequences.

    PubMed

    Johnson, Brian R

    2013-01-01

    State, county, and local governments are currently facing a myriad of economic issues, based on shrinking tax revenues combined with increased expenditures. Of these, the costs related to defined benefit pension plans are one of the most serious issues facing many public employers. Through a comprehensive review of the existing literature, this article examines how the shift from the defined benefit (DB) to defined contribution (DC) pension plan has the potential to enhance levels of labor unrest due to changes in union militancy, bargaining skills deficits, intra-organizational conflict, and issues related to economic trade-offs. Besides the capacity for immediate and deleterious ramifications in the collective bargaining process, the transition to the DC pension also presents some potentially negative consequences related to human resource management, including changes in the psychological contract, recruitment strategies, employee turnover, and changes in retirement patterns. Recommendations to improve labor relations and human resource management practices in the DC pension environment are also explored.

  18. Rural Vocational and Transition Assessment Practices for Students with Intellectual Disabilities: What Do Educators Really Know?

    ERIC Educational Resources Information Center

    Brendle, Janna; Tucker, Kathryn J.; Lock, Robin H.

    2018-01-01

    Transition planning requires quality vocational and transition assessment tailored to the student's needs, strengths, preferences and interests. Limited research is currently available that addresses assessment types and use of results that rural practitioners utilize to aid in transition planning for students with intellectual disabilities (ID).…

  19. Route planning with transportation network maps: an eye-tracking study.

    PubMed

    Grison, Elise; Gyselinck, Valérie; Burkhardt, Jean-Marie; Wiener, Jan Malte

    2017-09-01

    Planning routes using transportation network maps is a common task that has received little attention in the literature. Here, we present a novel eye-tracking paradigm to investigate psychological processes and mechanisms involved in such a route planning. In the experiment, participants were first presented with an origin and destination pair before we presented them with fictitious public transportation maps. Their task was to find the connecting route that required the minimum number of transfers. Based on participants' gaze behaviour, each trial was split into two phases: (1) the search for origin and destination phase, i.e., the initial phase of the trial until participants gazed at both origin and destination at least once and (2) the route planning and selection phase. Comparisons of other eye-tracking measures between these phases and the time to complete them, which depended on the complexity of the planning task, suggest that these two phases are indeed distinct and supported by different cognitive processes. For example, participants spent more time attending the centre of the map during the initial search phase, before directing their attention to connecting stations, where transitions between lines were possible. Our results provide novel insights into the psychological processes involved in route planning from maps. The findings are discussed in relation to the current theories of route planning.

  20. Dots & dashes : piecing together transit's future.

    DOT National Transportation Integrated Search

    2008-11-01

    Dots & Dashes is an interactive board game that is used at public planning meetings to engage stakeholders in long range transit planning. Groups of three to six people use game pieces with monetary values to choose the priorities of transit projects...

  1. Building Enterprise Transition Plans Through the Development of Collapsing Design Structure Matrices

    DTIC Science & Technology

    2015-09-17

    processes from the earliest input to the final output to evaluate where change is needed to reduce costs, reduce waste, and improve the flow of information...from) integrating a large complex enterprise? • How should firms/enterprises evaluate systems prior to integration? What are some valid taxonomies

  2. Promoting Self-Determination and Transition Planning Using Technology: Student and Parent Perspectives

    ERIC Educational Resources Information Center

    Van Laarhoven-Myers, Traci E.; Van Laarhoven, Toni R.; Smith, Thomas J.; Johnson, Heather; Olson, Justin

    2016-01-01

    Despite the Individuals With Disabilities Education Act's (IDEA) mandates for student involvement in the Individualized Education Program (IEP) process, several researchers have demonstrated limited student participation. One method for encouraging self-advocacy and active IEP participation is to teach students to communicate their hopes, dreams,…

  3. Examining challenges, opportunities and best practices for addressing rural mobility and economic development under SAFETEA-LU's coordinated planning and human services framework.

    DOT National Transportation Integrated Search

    2011-07-01

    In response to changes in federal requirements for rural transit planning, the Texas State Legislature and the Texas Department of Transportation have recently developed coordinated transit and human services plans for the 24 planning regions in the ...

  4. ERP System Implementation: An Oil and Gas Exploration Sector Perspective

    NASA Astrophysics Data System (ADS)

    Mishra, Alok; Mishra, Deepti

    Enterprise Resource Planning (ERP) systems provide integration and optimization of various business processes which leads to improved planning and decision quality, smoother coordination between business units resulting in higher efficiency, and quicker response time to customer demands and inquiries. This paper reports challenges, opportunities and outcome of ERP implementation in Oil & Gas exploration sector. This study will facilitate in understanding transition, constraints and implementation of ERP in this sector and also provide guidelines from lessons learned in this regard.

  5. A procedural method for express bus-fringe parking transit planning.

    DOT National Transportation Integrated Search

    1976-01-01

    The report illustrates a procedural method for planning express bus-fringe parking transit services - a method built upon the findings from previous research, including disaggregate travel choice models and planning guidelines. The methodology addres...

  6. Transition from neonatal intensive care unit to special care nurseries: experiences of parents and nurses.

    PubMed

    Helder, Onno K; Verweij, Jos C M; van Staa, AnneLoes

    2012-05-01

    To explore parents' and nurses' experiences with the transition of infants from the neonatal intensive care unit to a special care nursery. Qualitative explorative study in two phases. Level IIID neonatal intensive care unit in a university hospital and special care nurseries (level II) in five community hospitals in the Netherlands. Twenty-one pairs of parents and 18 critical care nurses. Semistructured interviews were used. Thematic analysis and comparison of themes across participants were performed. Trust was a central theme for parents. Three subthemes, related to the chronological stages of transition, were identified: gaining trust; betrayal of trust; and rebuilding confidence. Trust was associated with five other themes: professional attitude; information management; coordination of transfer; different environments; and parent participation. Although nurses at an early stage repeatedly mentioned a possible transition to community hospitals, the actual announcement took many parents by surprise. Parents felt excluded during the actual transfer and most questioned its necessity. In the special care nursery, parents found it difficult to adjust to new routines and to gain trust in new caregivers, but eventually their worries dissolved. In contrast to neonatal intensive care unit nurses, special care nursery nurses quite understood the impact of transition on parents. Both parents and nurses considered present transitional arrangements to be inadequate. Nurses should provide more effective discharge planning and transitional care. A positive labeling of the transition as a first step to home discharge for the newborn seems appropriate. Parents need to be better-informed and should be involved in the planning process.

  7. Health system strengthening in Cambodia-a case study of health policy response to social transition.

    PubMed

    Grundy, John; Khut, Qiu Yi; Oum, Sophal; Annear, Peter; Ky, Veng

    2009-10-01

    Cambodia, following decades of civil conflict and social and economic transition, has in the last 10 years developed health policy innovations in the areas of health contracting, health financing and health planning. This paper aims to outline recent social, epidemiological and demographic health trends in Cambodia, and on the basis of this outline, to analyse and discuss these policy responses to social transition. Sources of information included a literature review, participant observation in health planning development in Cambodia between 1993 and 2008, and comparative analysis of demographic health surveys between 2000 and 2005. In Cambodia there have been sharp but unequal improvements in child mortality, and persisting high maternal mortality rates. Data analysis demonstrates associations between location, education level and access to facility based care, suggesting the dominant role of socio-economic factors in determining access to facility based health care. These events are taking place against a background of rapid social transition in Cambodian history, including processes of decentralization, privatization and the development of open market economic systems. Primary policy responses of the Ministry of Health to social transition and associated health inequities include the establishment of health contracting, hospital health equity funds and public-private collaborations. Despite the internationally recognized health policy flexibility and innovation demonstrated in Cambodia, policy response still lags well behind the reality of social transition. In order to minimize the delay between transition and response, new policy making tactics are required in order to provide more flexible and timely responses to the ongoing social transition and its impacts on population health needs in the lowest socio-economic quintiles.

  8. "Close the Door on Your Way Out": Parent Perspectives on Supported Transition Planning for Young People with Special Educational Needs and Disabilities in Ireland

    ERIC Educational Resources Information Center

    Doyle, Alison; Mc Guckin, Conor; Shevlin, Michael

    2017-01-01

    Students with Special Educational Needs and Disabilities encounter complex and circuitous transitions from post-primary settings to Higher Education. In Ireland, inequitable access to Individual Education Plans, and a lack of policy infrastructure to provide formal transition planning, means that these journeys are varied and uncertain. This study…

  9. Research-based planning for change: assessing nurses' attitudes toward governance and professional practice autonomy after hospital acquisition.

    PubMed

    George, V M; Burke, L J; Rodgers, B L

    1997-05-01

    This article describes one medical center's experience in using research to plan for nursing staff integration after hospital acquisition. Resistance to new policies, procedures, and standards; passive acceptance of new leadership; limited support for management plans; and failure to integrate with new nursing units are common staff reactions after acquisitions. Little has been written regarding which key staff variables to assess after acquisitions and how to use this data to plan for change. Structural contingency and attribution theory were used to guide leadership staff's assessment of acquired staff attributes to determine their congruence with concepts valued by the acquiring organization. Qualitative and quantitative data were collected using a survey method. All 141 registered nurses and licensed practical nurses of the acquired medical center received a mailed survey. Sixty-six completed surveys were returned through the U.S. mail. No identifying information was placed on the survey to assure anonymity. The survey results described nurses perceptions of the advantages, concerns, and suggestions for a smooth transition after acquisition. In addition, the results clarified that nurses in the newly acquired hospital preferred a shared governance structure (congruent with the acquiring medical center's values) and the nurses perceived professional nursing autonomy was similar to that of nurses who worked at the acquiring medical center. By sharing the findings, both staffs were sensitized to the similarities among the staff as well as to their differences. Transition strategies were planned to capitalize on this knowledge. This process may be useful for other nurse executives to replicate as they guide their organizations through similar transitions.

  10. Leading change: evidence-based transition.

    PubMed

    Lewis, Brennan; Allen, Stephanie

    2015-01-01

    The purpose of this article was to provide a framework for evidence-based transition of patient populations within an acute care pediatric institution. Transition within a hospital is foreseeable, given the ever-changing needs of the patients within an evolving healthcare system. These changes include moving patient populations because of expansion, renovation, or cohorting similar patient diagnoses to provide care across a continuum. Over the past 1 to 2 years, Children's Health Children's Medical Center Dallas has experienced a wide variety of transition. To provide a smooth transition for patients and families into new care areas resulting in a healthy work environment for all team members. The planning phase for patient population moves, and transition should address key aspects to include physical location and care flow, supplies and equipment, staffing model and human resources (HR), education and orientation, change process and integrating teams, and family preparation. It is imperative to consider these aspects in order for transitions within a healthcare system to be successful. During a time of such transitions, the clinical nurse specialist (CNS) is a highly valuable team member offering a unique perspective and methodological approach, which is central to the new initiative's overall success. The themes addressed in this article on evidence-based transition are organized according to the CNS spheres of influence: system/organization, patient/family, and nursing. An evidence-based transition plan was developed and implemented successfully with the support from the CNS for 3 patient populations. Organizational leadership gained an increased awareness of the CNS role at the conclusion of each successful transition. The CNS plays a pivotal role as clinical experts and proponents of evidence-based practice and effects change in the system/organization, nursing, and patient/family spheres of influence. While transitions can be a source of stress for leaders and bedside staff, it is also a time that allows for growth and new opportunities for staff and may result in development of a healthier work environment. The CNS is able to provide leadership while working collaboratively to oversee the moves with a forward-thinking approach. There are key components to consider during times of transition. These include (1) organize, plan, and improve work efficiencies during a construction build; (2) identify the key elements for improvement in nurse and patient satisfaction; (3) develop or maintain healthy work environment standards; (4) establish adequate staffing levels and staff education to successfully care for patient populations following transition; and (5) support the staff and patients during transition.

  11. Effectiveness of the BOOST-A™ online transition planning program for adolescents on the autism spectrum: a quasi-randomized controlled trial.

    PubMed

    Hatfield, Megan; Falkmer, Marita; Falkmer, Torbjorn; Ciccarelli, Marina

    2017-01-01

    The majority of existing transition planning programs are focused on people with a disability in general and may not meet the specific need of adolescents on the autism spectrum. In addition, these interventions focus on specific skills (e.g. job readiness or self-determination) rather than the overall transition planning process and there are methodological limitations to many of the studies determining their effectiveness. The Better OutcOmes & Successful Transitions for Autism (BOOST-A™) is an online program that supports adolescents on the autism spectrum to prepare for leaving school. This study aimed to determine the effectiveness of the BOOST-A™ in enhancing self-determination. A quasi-randomized controlled trial was conducted with adolescents on the autism spectrum enrolled in years 8 to 11 in Australian schools (N = 94). Participants had to have basic computer skills and the ability to write at a year 5 reading level. Participants were allocated to a control (n = 45) or intervention (n = 49) group and participants were blinded to the trial hypothesis. The intervention group used the BOOST-A™ for 12 months, while the control group participated in regular practice. Outcomes included self-determination, career planning and exploration, quality of life, environmental support and domain specific self-determination. Data were collected from parents and adolescents. There were no significant differences in overall self-determination between groups. Results indicated significant differences in favor of the intervention group in three areas: opportunity for self-determination at home as reported by parents; career exploration as reported by parents and adolescents; and transition-specific self-determination as reported by parents. Results provide preliminary evidence that the BOOST-A™ can enhance some career-readiness outcomes. Lack of significant outcomes related to self-determination at school and career planning may be due to the lack of face-to-face training and parents being the primary contacts in the study. Further research is needed to determine effectiveness of the BOOST-A™ related to post-secondary education and employment. Trial registration #ACTRN12615000119594.

  12. The Health Care Transition of Youth With Liver Disease Into the Adult Health System: Position Paper From ESPGHAN and EASL.

    PubMed

    Vajro, Pietro; Fischler, Björn; Burra, Patrizia; Debray, Dominique; Dezsofi, Antal; Guercio Nuzio, Salvatore; Hadzic, Nedim; Hierro, Loreto; Jahnel, Joerg; Lamireau, Thierry; McKiernan, Patrick; McLin, Valerie; Nobili, Valerio; Socha, Piotr; Smets, Francoise; Baumann, Ulli; Verkade, Henkjan J

    2018-06-01

    Medical advances have dramatically improved the long-term prognosis of children and adolescents with once-fatal hepatobiliary diseases. However, there is no generally accepted optimal pathway of care for the transition from paediatric care to the adult health system. The purpose of this position paper is to propose a transition process for young people with paediatric onset hepatobiliary diseases from child-centred to adult-centred healthcare services. Seventeen ESPGHAN/EASL physicians from 13 countries (Austria, Belgium, France, Germany, Hungary, Italy, the Netherlands, Norway, Poland, Spain, Sweden, Switzerland, and United Kingdom) formulated and answered questions after examining the currently published literature on transition from childhood to adulthood. PubMed and Google Scholar were systematically searched between 1980 and January 2018. Quality of evidence was assessed by the Grading of Recommendation Assessment, Development and Evaluation (GRADE) system. Expert opinions were used to support recommendations whenever the evidence was graded weak. All authors voted on each recommendation, using the nominal voting technique. We reviewed the literature regarding the optimal timing for the initiation of the transition process and the transfer of the patient to adult services, principal documents, transition multi-professional team components, main barriers, and goals of the general transition process. A transition plan based on available evidence was agreed focusing on the individual young people's readiness and on coordinated teamwork, with transition monitoring continuing until the first year of adult services.We further agreed on selected features of transitioning processes inherent to the most frequent paediatric-onset hepatobiliary diseases. The discussion highlights specific clinical issues that will probably present to adult gastrointestinal specialists and that should be considered, according to published evidence, in the long-term tracking of patients. Transfer of medical care of individuals with paediatric onset hepatobiliary chronic diseases to adult facilities is a complex task requiring multiple involvements of patients and both paediatric and adult care providers.

  13. Enriching mission planning approach with state transition graph heuristics for deep space exploration

    NASA Astrophysics Data System (ADS)

    Jin, Hao; Xu, Rui; Xu, Wenming; Cui, Pingyuan; Zhu, Shengying

    2017-10-01

    As to support the mission of Mars exploration in China, automated mission planning is required to enhance security and robustness of deep space probe. Deep space mission planning requires modeling of complex operations constraints and focus on the temporal state transitions of involved subsystems. Also, state transitions are ubiquitous in physical systems, but have been elusive for knowledge description. We introduce a modeling approach to cope with these difficulties that takes state transitions into consideration. The key technique we build on is the notion of extended states and state transition graphs. Furthermore, a heuristics that based on state transition graphs is proposed to avoid redundant work. Finally, we run comprehensive experiments on selected domains and our techniques present an excellent performance.

  14. Transit bus stop pedestrian warning application : acceptance test plan : final report.

    DOT National Transportation Integrated Search

    2016-10-14

    This document is the Acceptance Test Plan for the Transit Bus Stop Pedestrian Warning (TSPW) application. This report describes the test and demonstration plan to verify that the application meets its functional and performance requirements.

  15. Reducing fatigue damage for ships in transit through structured decision making

    USGS Publications Warehouse

    Nichols, J.M.; Fackler, P.L.; Pacifici, K.; Murphy, K.D.; Nichols, J.D.

    2014-01-01

    Research in structural monitoring has focused primarily on drawing inference about the health of a structure from the structure’s response to ambient or applied excitation. Knowledge of the current state can then be used to predict structural integrity at a future time and, in principle, allows one to take action to improve safety, minimize ownership costs, and/or increase the operating envelope. While much time and effort has been devoted toward data collection and system identification, research to-date has largely avoided the question of how to choose an optimal maintenance plan. This work describes a structured decision making (SDM) process for taking available information (loading data, model output, etc.) and producing a plan of action for maintaining the structure. SDM allows the practitioner to specify his/her objectives and then solves for the decision that is optimal in the sense that it maximizes those objectives. To demonstrate, we consider the problem of a Naval vessel transiting a fixed distance in varying sea-state conditions. The physics of this problem are such that minimizing transit time increases the probability of fatigue failure in the structural supports. It is shown how SDM produces the optimal trip plan in the sense that it minimizes both transit time and probability of failure in the manner of our choosing (i.e., through a user-defined cost function). The example illustrates the benefit of SDM over heuristic approaches to maintaining the vessel.

  16. Health manpower planning in Slovenia: a policy analysis of the changes in roles of stakeholders and methodologies.

    PubMed

    Albreht, Tit; Klazinga, Niek

    2002-12-01

    A heightened awareness about medical manpower issues can be observed in countries that are in a state of political, economic, and social transition. Slovenia entered the transition process in 1989 and became an independent country in 1991. Transition and independence influenced its health care in several ways. It changed the health care system and its financing (by introducing a Bismarckian style of social insurance). It then redistributed power from the Ministry of Health to several stakeholders. A major change occurred in the labor market in health care when the flow of health professionals from the newly independent countries greatly decreased. The decrease was partly due to the consequences of the war in the Balkans and partly due to independent labor legislation in Slovenia. Transitional changes brought new stakeholders to the scene, with a resulting redistribution of responsibilities for health manpower policies and the use of various methodologies. This policy analysis offers a detailed description of the contextual framework, quantitative data on medical manpower development, and, most important, interviews with representatives of the key stakeholders and study of relevant policy documents. We conclude that all stakeholders underpin the need for a structured approach toward health manpower planning in the form of a more coherent system of planning, decision making, and control. A compromise on mutual responsibilities between the less dominant Ministry of Health and the two new powerful stakeholders, the Health Insurance Institute of Slovenia and the Medical Chamber of Slovenia, seems necessary.

  17. 25 CFR Appendix A to Subpart B - Allowable Uses of IRR Program Funds

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... value and design life or increase the skid resistance of the pavement. 8. Tribally-owned, post-secondary... following planning and design activities: 1. Planning and design of IRR transit facilities eligible for IRR construction funding. 2. Planning and design of IRR roads and bridges. 3. Planning and design of transit...

  18. 25 CFR Appendix A to Subpart B - Allowable Uses of IRR Program Funds

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... value and design life or increase the skid resistance of the pavement. 8. Tribally-owned, post-secondary... following planning and design activities: 1. Planning and design of IRR transit facilities eligible for IRR construction funding. 2. Planning and design of IRR roads and bridges. 3. Planning and design of transit...

  19. 25 CFR Appendix A to Subpart B - Allowable Uses of IRR Program Funds

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... value and design life or increase the skid resistance of the pavement. 8. Tribally-owned, post-secondary... following planning and design activities: 1. Planning and design of IRR transit facilities eligible for IRR construction funding. 2. Planning and design of IRR roads and bridges. 3. Planning and design of transit...

  20. 25 CFR Appendix A to Subpart B - Allowable Uses of IRR Program Funds

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... value and design life or increase the skid resistance of the pavement. 8. Tribally-owned, post-secondary... following planning and design activities: 1. Planning and design of IRR transit facilities eligible for IRR construction funding. 2. Planning and design of IRR roads and bridges. 3. Planning and design of transit...

  1. 25 CFR Appendix A to Subpart B - Allowable Uses of IRR Program Funds

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... value and design life or increase the skid resistance of the pavement. 8. Tribally-owned, post-secondary... following planning and design activities: 1. Planning and design of IRR transit facilities eligible for IRR construction funding. 2. Planning and design of IRR roads and bridges. 3. Planning and design of transit...

  2. Reassessing passenger mile data for transit planning and fund allocation.

    DOT National Transportation Integrated Search

    2005-04-01

    This document provides information on the collection and use of passenger mile (PM) data that may be : helpful to the transit industry in reconsidering the use of PM data for transit planning and fund allocation. : Historically the industry seldom us...

  3. Cleaning Out the Wheelbarrow: Planning Appropriate Assessments for Transition.

    ERIC Educational Resources Information Center

    Finn, David M.; Tazioli, Pam

    1993-01-01

    Examines issues in the transition of young disabled children between programs: ignorance or misinformation about available resources; eligibility criteria; interagency information exchange; and advance planning. Provides a troubleshooting guide to help agencies evaluate transition procedures. Discusses interagency assessment models and tools to…

  4. Using the International Space Station (ISS) Oxygen Generation Assembly (OGA) Is Not Feasible for Mars Transit

    NASA Technical Reports Server (NTRS)

    Jones, Harry W.

    2016-01-01

    A review of two papers on improving the International Space Station (ISS) Oxygen Generation Assembly (OGA) shows that it would not save substantial mass on a Mars transit. The ISS OGA requires redesign for satisfactory operation, even for the ISS. The planned improvements of the OGA for ISS would not be sufficient to make it suitable for Mars, because Mars transit life support has significantly different requirements than ISS. The OGA for Mars should have lower mass, better reliability and maintainability, greater safety, radiation hardening, and capability for quiescent operation. NASA's methodical, disciplined systems engineering process should be used to develop the appropriate system.

  5. 7 CFR 15a.18 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Office of the Secretary of Agriculture EDUCATION PROGRAMS OR ACTIVITIES RECEIVING OR BENEFITTING FROM... of Education, a transition plan shall: (1) State the name, address, and Federal Interagency Committee on Education (FICE) Code of the educational institution submitting such plan, the administratively...

  6. 22 CFR 229.230 - Transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION... Secretary of Education, a transition plan shall: (1) State the name, address, and Federal Interagency Committee on Education Code of the educational institution submitting such plan, the administratively...

  7. Promoting Resilience in New Perioperative Nurses.

    PubMed

    Stephens, Teresa M; Smith, Pamela; Cherry, Caitlin

    2017-03-01

    New nursing graduates experience many challenges when transitioning from the academic environment to the practice setting. For many, the period of transition from student to employee is less than optimal, with many still experiencing reality shock, cognitive dissonance, and theory-practice gaps. The Stephens Model of Nursing Student Resilience addresses the unique issues faced by new graduate nurses to assist them in developing healthy coping strategies and to promote resilience. This model forms the basis of the RN Personal Resilience Enhancement Plan, a supplemental onboarding program created to assist new nurses in confidently facing challenges encountered during orientation and successfully moving forward as nursing professionals. This article describes the concept of resilience and explains how to link the RN Personal Resilience Enhancement Plan to the onboarding process in the perioperative setting. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  8. Data Base Design with GIS in Ecosystem Based Multiple Use Forest Management in Artvin, Turkey: A Case Study in Balcı Forest Management Planning Unit.

    PubMed

    Yolasığmaz, Hacı Ahmet; Keleş, Sedat

    2009-01-01

    In Turkey, the understanding of planning focused on timber production has given its place on Multiple Use Management (MUM). Because the whole infrastructure of forestry with inventory system leading the way depends on timber production, some cases of bottle neck are expected during the transition period. Database design, probably the most important stage during the transition to MUM, together with the digital basic maps making up the basis of this infrastructure constitute the main point of this article. Firstly, the forest management philosophy of Turkey in the past was shortly touched upon in the article. Ecosystem Based Multiple Use Forest Management (EBMUFM) approaches was briefly introduced. The second stage of the process of EBMUFM, database design was described by examining the classical planning infrastructure and the coverage to be produced and consumed were suggested in the form of lists. At the application stage, two different geographical databases were established with GIS in Balcı Planning Unit of the years 1984 and 2006. Following that the related basic maps are produced. Timely diversity of the planning unit of 20 years is put forward comparatively with regard to the stand parameters such as tree types, age class, development stage, canopy closure, mixture, volume and increment.

  9. Knowledge-based treatment planning and its potential role in the transition between treatment planning systems.

    PubMed

    Masi, Kathryn; Archer, Paul; Jackson, William; Sun, Yilun; Schipper, Matthew; Hamstra, Daniel; Matuszak, Martha

    2017-11-22

    Commissioning a new treatment planning system (TPS) involves many time-consuming tasks. We investigated the role that knowledge-based planning (KBP) can play in aiding a clinic's transition to a new TPS. Sixty clinically treated prostate/prostate bed intensity-modulated radiation therapy (IMRT) plans were exported from an in-house TPS and were used to create a KBP model in a newly implemented commercial application. To determine the benefit that KBP may have in a TPS transition, the model was tested on 2 groups of patients. Group 1 consisted of the first 10 prostate/prostate bed patients treated in the commercial TPS after the transition from the in-house TPS. Group 2 consisted of 10 patients planned in the commercial TPS after 8 months of clinical use. The KBP-generated plan was compared with the clinically used plan in terms of plan quality (ability to meet planning objectives and overall dose metrics) and planning efficiency (time required to generate clinically acceptable plans). The KBP-generated plans provided a significantly improved target coverage (p = 0.01) compared with the clinically used plans for Group 1, but yielded plans of comparable target coverage to the clinically used plans for Group 2. For the organs at risk, the KBP-generated plans produced lower doses, on average, for every normal-tissue objective except for the maximum dose to 0.1 cc of rectum. The time needed for the KBP-generated plans ranged from 6 to 15 minutes compared to 30 to 150 and 15 to 60 minutes for manual planning in Groups 1 and 2, respectively. KBP is a promising tool to aid in the transition to a new TPS. Our study indicates that high-quality treatment plans could have been generated in the newly implemented TPS more efficiently compared with not using KBP. Even after 8 months of the clinical use, KBP still showed an increase in plan quality and planning efficiency compared with manual planning. Copyright © 2017 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights reserved.

  10. Pyrotechnic hazards classification and evaluation program. Phase 2, segment 3: Test plan for determining hazards associated with pyrotechnic manufacturing processes

    NASA Technical Reports Server (NTRS)

    1971-01-01

    A comprehensive test plan for determining the hazards associated with pyrotechnic manufacturing processes is presented. The rationale for each test is based on a systematic analysis of historical accounts of accidents and a detailed study of the characteristics of each manufacturing process. The most hazardous manufacturing operations have been determined to be pressing, mixing, reaming, and filling. The hazard potential of a given situation is evaluated in terms of the probabilities of initiation, communication, and transition to detonation (ICT). The characteristics which affect the ICT probabilities include the ignition mechanisms which are present either in normal or abnormal operation, the condition and properties of the pyrotechnic material, and the configuration of the processing equipment. Analytic expressions are derived which describe the physical conditions of the system, thus permitting a variety of processes to be evaluated in terms of a small number of experiments.

  11. The Transition of NASA EOS Datasets to WFO Operations: A Model for Future Technology Transfer

    NASA Technical Reports Server (NTRS)

    Darden, C.; Burks, J.; Jedlovec, G.; Haines, S.

    2007-01-01

    The collocation of a National Weather Service (NWS) Forecast Office with atmospheric scientists from NASA/Marshall Space Flight Center (MSFC) in Huntsville, Alabama has afforded a unique opportunity for science sharing and technology transfer. Specifically, the NWS office in Huntsville has interacted closely with research scientists within the SPORT (Short-term Prediction and Research and Transition) Center at MSFC. One significant technology transfer that has reaped dividends is the transition of unique NASA EOS polar orbiting datasets into NWS field operations. NWS forecasters primarily rely on the AWIPS (Advanced Weather Information and Processing System) decision support system for their day to day forecast and warning decision making. Unfortunately, the transition of data from operational polar orbiters or low inclination orbiting satellites into AWIPS has been relatively slow due to a variety of reasons. The ability to integrate these high resolution NASA datasets into operations has yielded several benefits. The MODIS (MODerate-resolution Imaging Spectrometer ) instrument flying on the Aqua and Terra satellites provides a broad spectrum of multispectral observations at resolutions as fine as 250m. Forecasters routinely utilize these datasets to locate fine lines, boundaries, smoke plumes, locations of fog or haze fields, and other mesoscale features. In addition, these important datasets have been transitioned to other WFOs for a variety of local uses. For instance, WFO Great Falls Montana utilizes the MODIS snow cover product for hydrologic planning purposes while several coastal offices utilize the output from the MODIS and AMSR-E instruments to supplement observations in the data sparse regions of the Gulf of Mexico and western Atlantic. In the short term, these datasets have benefited local WFOs in a variety of ways. In the longer term, the process by which these unique datasets were successfully transitioned to operations will benefit the planning and implementation of products and datasets derived from both NPP and NPOESS. This presentation will provide a brief overview of current WFO usage of satellite data, the transition of datasets between SPORT and the N W S , and lessons learned for future transition efforts.

  12. 23 CFR 810.6 - Prerequisites for projects authorized by 23 U.S.C. 137, 142, or 149.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., 142, or 149. 810.6 Section 810.6 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PUBLIC TRANSPORTATION MASS TRANSIT AND SPECIAL USE HIGHWAY PROJECTS General § 810.6 Prerequisites for... continuing comprehensive transportation planning process, carried on in accordance with 23 U.S.C. 134 as...

  13. Advancing Vocational Education Through Research and Development.

    ERIC Educational Resources Information Center

    Bureau of Occupational and Adult Education (DHEW/OE), Washington, DC. Div. of Research and Demonstration.

    This report contains information about the legislative and regulatory framework for Section 131 (a) of part C of the U.S. Commissioner of Education's Vocational Education Research Programs; the planning and its procedures leading to the determination of the program priority areas for fiscal year 1976 and the transition quarter; the processes used…

  14. Self-Management Skills: An Important Link to Successful Special Education Postsecondary Transition Planning

    ERIC Educational Resources Information Center

    Carter, Sharon D.

    2013-01-01

    This qualitative case study investigated the process of teaching the self-management strategies, self-determination, and self-monitoring to chronically misbehaved students from the perspective of a secondary special education teacher. The investigation used a purposeful sample to select an urban high school setting and a tenured special education…

  15. 77 FR 31520 - Connect America Fund; A National Broadband Plan for Our Future; Establishing Just and Reasonable...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-29

    ... Exchange Carriers; High-Cost Universal Service Support AGENCY: Federal Communications Commission. ACTION...: The complete text may be purchased from the Commission's duplicating contractor, Best Copy and... Commission established Phase I of the CAF to begin the process of transitioning high-cost support for price...

  16. The orthodontic practice ownership transition.

    PubMed

    Caplan, C M

    1993-12-01

    Any orthodontist contemplating a transfer of ownership interests would be well served ensuring that the decision-making process is handled objectively and analytically and that appropriate advice is acquired before entering into an arrangement. Boiler plate agreements and rules of thumb do not work any more effectively than developing a single diagnosis and treatment plan for all patients.

  17. Reengineering the picture archiving and communication system (PACS) process for digital imaging networks PACS.

    PubMed

    Horton, M C; Lewis, T E; Kinsey, T V

    1999-05-01

    Prior to June 1997, military picture archiving and communications systems (PACS) were planned, procured, and installed with key decisions on the system, equipment, and even funding sources made through a research and development office called Medical Diagnostic Imaging Systems (MDIS). Beginning in June 1997, the Joint Imaging Technology Project Office (JITPO) initiated a collaborative and consultative process for planning and implementing PACS into military treatment facilities through a new Department of Defense (DoD) contract vehicle called digital imaging networks (DIN)-PACS. The JITPO reengineered this process incorporating multiple organizations and politics. The reengineered PACS process administered through the JITPO transformed the decision process and accountability from a single office to a consultative method that increased end-user knowledge, responsibility, and ownership in PACS. The JITPO continues to provide information and services that assist multiple groups and users in rendering PACS planning and implementation decisions. Local site project managers are involved from the outset and this end-user collaboration has made the sometimes difficult transition to PACS an easier and more acceptable process for all involved. Corporately, this process saved DoD sites millions by having PACS plans developed within the government and proposed to vendors second, and then having vendors respond specifically to those plans. The integrity and efficiency of the process have reduced the opportunity for implementing nonstandard systems while sharing resources and reducing wasted government dollars. This presentation will describe the chronology of changes, encountered obstacles, and lessons learned within the reengineering of the PACS process for DIN-PACS.

  18. Political commitment for vulnerable populations during donor transition.

    PubMed

    Rodríguez, Daniela C; Whiteside, Alan; Bennett, Sara

    2017-02-01

    The responsibilities for the programmatic, technical and financial support of health programmes are increasingly being passed from external donors to governments. Programmes for family planning, human immunodeficiency virus, immunization, malaria and tuberculosis have already faced such donor transition, which is a difficult and often political process. Wherever programmes and services aimed at vulnerable populations are primarily supported by donors, the post-transition future is uncertain. Overreliance on donor support is often a reflection of limited domestic political commitment. Limited commitment, which is frequently expressed as the persecution of vulnerable groups, poses a risk to individuals as well as to the effectiveness and sustainability of health programmes. We argue that, for reasons linked to human rights, the social contract and the cost-effectiveness of health promotion, prevention and treatment programmes, it is critical that governments sustain health services for vulnerable populations during and after donor transition. Although civil society organizations could help by engaging with government stakeholders, pushing to change social norms and supporting mechanisms that demand accountability, they may be constrained by economic, political and social factors. Vulnerable populations need to be actively involved in the planning and implementation of donor transition - to ensure that their voice and needs are taken into account and to establish a platform that improves visibility and accountability. As transitions spread across all aspects of global health, transparent conversations about the building and sustainment of political commitment for health services for vulnerable populations become a critical human rights issue.

  19. Web-based collaboration in individual care planning challenges the user and the provider roles – toward a power transition in caring relationships

    PubMed Central

    Bjerkan, Jorunn; Vatne, Solfrid; Hollingen, Anne

    2014-01-01

    Background and objective The Individual Care Plan (ICP) was introduced in Norway to meet new statutory requirements for user participation in health care planning, incorporating multidisciplinary and cross-sector collaboration. A web-based solution (electronic ICP [e-ICP]) was used to support the planning and documentation. The aim of this study was to investigate how web-based collaboration challenged user and professional roles. Methods Data were obtained from 15 semistructured interviews with users and eight with care professionals, and from two focus-group interviews with eight care professionals in total. The data were analyzed using systematic text condensation in a stepwise analysis model. Results Users and care professionals took either a proactive or a reluctant role in e-ICP collaboration. Where both user and care professionals were proactive, the pairing helped to ensure that the planning worked well; so did pairings of proactive care professionals and reluctant users. Proactive users paired with reluctant care professionals also made care planning work, thanks to the availability of information and the users’ own capacity or willingness to conduct the planning. Where both parties were reluctant, no planning activities occurred. Conclusion Use of the e-ICP challenged the user–professional relationship. In some cases, a power transition took place in the care process, which led to patient empowerment. This knowledge might be used to develop a new understanding of how role function can be challenged when users and care professionals have equal access to health care documentation and planning tools. PMID:25525367

  20. Asthma Self-Management Goals, Beliefs and Behaviors of Urban African American Adolescents Prior to Transitioning to Adult Health Care.

    PubMed

    Gibson-Scipio, Wanda; Gourdin, Dustin; Krouse, Helene J

    2015-01-01

    Adolescence is a unique time of development incorporating a transition from child centered to adult centered health care. This transition period can be particularly challenging for individuals with a chronic disease such as asthma. Inadequate transition planning during adolescence may place an already vulnerable population such as African American adolescents with known health disparities in asthma prevalence, morbidity and mortality at risk for a continuation of poor health outcomes across the lifespan. Central to transition planning for these youth is the core element of developing and prioritizing goals. The purpose of this qualitative study was to explore the asthma self-management goals, beliefs and behaviors of urban African American adolescents prior to transitioning from pediatric to adult health care. A focus group composed of 13 African American adolescents with asthma ages 14-18 years from an urban population was conducted. Responses from transcripts and field notes were reviewed using an iterative process to best characterize asthma self-management goals and beliefs that emerged. Four core themes were identified: 1) medication self-management, 2) social support, 3) independence vs. interdependence, and 4) self-advocacy. Medication self-management included subthemes of rescue medications, controller medications and medication avoidance. The social support theme included three subthemes: peer support, caregiver support and healthcare provider support. Findings suggest that adolescents with asthma form both short term and long term goals. Their goals indicated a need for guided support to facilitate a successful health care transition. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Assessment of the Sustainability Capacity of a Coordinated Approach to Chronic Disease Prevention.

    PubMed

    Moreland-Russell, Sarah; Combs, Todd; Polk, LaShaun; Dexter, Sarah

    This article outlines some factors that influenced the sustainability capacity of a coordinated approach to chronic disease prevention in state and territory health departments. This study involved a cross-sectional design and mixed-methods approach. Quantitative data were collected using the Program Sustainability Assessment Tool (PSAT), a 40-item multiple-choice instrument that assesses 8 domains of sustainability capacity (environmental support, funding stability, partnerships, organizational capacity, program evaluation, program adaptation, communications, and strategic planning). Qualitative data were collected via phone interviews. The PSAT was administered to staff and stakeholders from public health departments in 50 US states, District of Columbia, and Puerto Rico, who were involved in the implementation of coordinated chronic disease programs. Phone interviews were conducted with program coordinators in each state. Sustainability score patterns and state-level categorical results, as well as strengths and opportunities for improvement across the 8 program sustainability domains, were explored. On average, programs reported the strongest sustainability capacity in the domains of program adaptation, environmental support, and organizational capacity, while funding stability, strategic planning, and communications yielded lowest scores, indicating weakest capacity. Scores varied the most by state in environmental support and strategic planning. The PSAT results highlight the process through which states approached the sustainability of coordinated chronic disease initiatives. This process included an initial focus on program evaluation and partnerships with transfer of priority to long-term strategic planning, communications, and funding stability to further establish coordinated chronic disease efforts. Qualitative interviews provided further context to PSAT results, indicating that leadership, communications, partnerships, funding stability, and policy change were perceived as keys to success of the transition. Integrating these findings into future efforts may help those in transition establish greater sustainability capacity. The PSAT results and interviews provide insight into the capacity for sustainability for programs transitioning from traditional siloed programs to coordinated chronic disease programs.

  2. Evolution of weighted complex bus transit networks with flow

    NASA Astrophysics Data System (ADS)

    Huang, Ailing; Xiong, Jie; Shen, Jinsheng; Guan, Wei

    2016-02-01

    Study on the intrinsic properties and evolutional mechanism of urban public transit networks (PTNs) has great significance for transit planning and control, particularly considering passengers’ dynamic behaviors. This paper presents an empirical analysis for exploring the complex properties of Beijing’s weighted bus transit network (BTN) based on passenger flow in L-space, and proposes a bi-level evolution model to simulate the development of transit routes from the view of complex network. The model is an iterative process that is driven by passengers’ travel demands and dual-controlled interest mechanism, which is composed of passengers’ spatio-temporal requirements and cost constraint of transit agencies. Also, the flow’s dynamic behaviors, including the evolutions of travel demand, sectional flow attracted by a new link and flow perturbation triggered in nearby routes, are taken into consideration in the evolutional process. We present the numerical experiment to validate the model, where the main parameters are estimated by using distribution functions that are deduced from real-world data. The results obtained have proven that our model can generate a BTN with complex properties, such as the scale-free behavior or small-world phenomenon, which shows an agreement with our empirical results. Our study’s results can be exploited to optimize the real BTN’s structure and improve the network’s robustness.

  3. Transition Services: An Investigation of the Knowledge, Confidence, and Practice of Special Education Teachers in District of Columbia Public Charter High Schools

    ERIC Educational Resources Information Center

    Henry, Wallace R., III

    2015-01-01

    This study was intended to enhance the limited research on the knowledge and confidence of special education teachers in public education regarding transition services and the quality of transition plans they develop. The key variables examined in this study are knowledge, confidence, and the quality of student transition plans. The sample…

  4. Planning for Bike Share Connectivity to Rail Transit

    PubMed Central

    Griffin, Greg Phillip; Sener, Ipek Nese

    2016-01-01

    Bike sharing can play a role in providing access to transit stations and then to final destinations, but early implementation of these systems in North America has been opportunistic rather than strategic. This study evaluates local intermodal plan goals using trip data and associated infrastructure such as transit stops and bike share station locations in Austin, Texas, and Chicago, Illinois. Bike sharing use data from both cities suggest a weak relationship with existing rail stations that could be strengthened through collaborative, intermodal planning. The study suggests a planning framework and example language that could be tailored to help address the linkage between bike sharing and transit. Rather than an exhaustive study of the practice, this study provides evidence from these two cities that identify opportunities to improve intermodal planning. Cities that are planning or expanding a bike sharing system should consider carefully how to leverage this mode with existing modes of transport. Regardless of a city’s status in implementing a bike sharing system, planners can leverage information on existing transport systems for planning at regional and local levels. PMID:27872554

  5. Planning the Transition to End-of-Life Care in Advanced Cancer (PDQ®)—Patient Version

    Cancer.gov

    Planning the transition to end-of-life care in advanced cancer involves talking about patient wishes and preferences. Learn more about common topics and how preparation for transition to end-of-life care can help ease the stress in patients and their families.

  6. Planning for School Transition: An Ecological-Developmental Approach.

    ERIC Educational Resources Information Center

    Diamond, Karen E.; And Others

    1988-01-01

    The paper describes an ecological-developmental model for planning a child's transition from a preschool special education program to a public school classroom. The model stresses interactions between the various environments in which the child functions. A description of a preschool transition program based on the model is also included.…

  7. Advanced network planning for bus rapid transit : the "Quickway" model as a modal alternative to "Light Rail Lite"

    DOT National Transportation Integrated Search

    2008-02-01

    Transit planning in the United States has tended toward viewing BRT as an analogue to light rail transit, with similar operating patterns. This model, referred to as Light Rail Lite, is compared to international best practices, which have often...

  8. Exploring the need for Transition Readiness Scales within cystic fibrosis services: A qualitative descriptive study.

    PubMed

    Bourke, Mary; Houghton, Catherine

    2018-07-01

    To explore healthcare professionals' and patients' perceptions of the potential use of a Transition Readiness Scale in cystic fibrosis care. This included an examination of barriers and facilitators to its implementation along with the identification of key items to include in a Transition Readiness Scale. Due to increasing life expectancy and improved quality of life, more adolescents with cystic fibrosis are transitioning from paediatric to adult health care. To assess and correctly manage this transition, a more structured approach to transition is advocated. This can be achieved using a Transition Readiness Scale to potentially identify or target areas of care in which the adolescent may have poor knowledge. These key items include education, developmental readiness taking into account relationships, reproduction, future plans and self-management skills. Existing tools to gauge readiness concentrate mainly on education and self-care needs assessment as their key items. Currently, there is no specific cystic fibrosis Transition Readiness Scale in use in Ireland or internationally. The study used a descriptive qualitative design. Data were collected using semi-structured interviews (n = 8) and analysed using a thematic approach. The findings identified the potential benefits of this tool and second the resources which need to be in place before its development and implementation into cystic fibrosis services. Transition Readiness Scales have substantial relevance with cystic fibrosis services emphasising the importance of establishing the necessary resources prior to its implementation. These were identified as more staff, a dedicated private space and staff training and education. Significant resources are needed to fully integrate Transition Readiness Scales in practice. The study findings suggest multidisciplinary collaborations, and patient engagement is pivotal in planning and easing the transition process for adolescents with cystic fibrosis. © 2018 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd.

  9. The NASA Short-term Prediction Research and Transition (SPoRT) Center: A Collaborative Model for Accelerating Research into Operations

    NASA Technical Reports Server (NTRS)

    Goodman, S. J.; Lapenta, W.; Jedlovec, G.; Dodge, J.; Bradshaw, T.

    2003-01-01

    The NASA Short-term Prediction Research and Transition (SPoRT) Center in Huntsville, Alabama was created to accelerate the infusion of NASA earth science observations, data assimilation and modeling research into NWS forecast operations and decision-making. The principal focus of experimental products is on the regional scale with an emphasis on forecast improvements on a time scale of 0-24 hours. The SPoRT Center research is aligned with the regional prediction objectives of the US Weather Research Program dealing with 0-1 day forecast issues ranging from convective initiation to 24-hr quantitative precipitation forecasting. The SPoRT Center, together with its other interagency partners, universities, and the NASA/NOAA Joint Center for Satellite Data Assimilation, provides a means and a process to effectively transition NASA Earth Science Enterprise observations and technology to National Weather Service operations and decision makers at both the global/national and regional scales. This paper describes the process for the transition of experimental products into forecast operations, current products undergoing assessment by forecasters, and plans for the future.

  10. AdaNET research project

    NASA Technical Reports Server (NTRS)

    Digman, R. Michael

    1988-01-01

    The components necessary for the success of the commercialization of an Ada Technology Transition Network are reported in detail. The organizational plan presents the planned structure for services development and technical transition of AdaNET services to potential user communities. The Business Plan is the operational plan for the AdaNET service as a commercial venture. The Technical Plan is the plan from which the AdaNET can be designed including detailed requirements analysis. Also contained is an analysis of user fees and charges, and a proposed user fee schedule.

  11. Monitoring and evaluating transition and sustainability of donor-funded programs: Reflections on the Avahan experience.

    PubMed

    Bennett, Sara; Ozawa, Sachiko; Rodriguez, Daniela; Paul, Amy; Singh, Kriti; Singh, Suneeta

    2015-10-01

    In low and middle-income countries, programs funded and implemented by international donors frequently transition to local funding and management, yet such processes are rarely evaluated. We reflect upon experience evaluating the transition of a large scale HIV/AIDS prevention program in India, known as Avahan, in order to draw lessons about transition evaluation approaches and implementation challenges. In terms of conceptualizing the transition theory, the evaluation team identified tensions between the idea of institutionalizing key features of the Avahan program, and ensuring program flexibility to promote sustainability. The transition was planned in three rounds allowing for adaptations to transition intervention and program design during the transition period. The assessment team found it important to track these changes in order to understand which strategies and contextual features supported transition. A mixed methods evaluation was employed, combining semi-structured surveys of transitioning entities (conducted pre and post transition), with longitudinal case studies. Qualitative data helped explain quantitative findings. Measures of transition readiness appeared robust, but we were uncertain of the robustness of institutionalization measures. Finally, challenges to the implementation of such an evaluation are discussed. Given the scarceness of transition evaluations, the lessons from this evaluation may have widespread relevance. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  12. Organizational transformation to improve operational efficiency at Gemini South

    NASA Astrophysics Data System (ADS)

    van der Hoeven, M.; Maltes, Diego; Rogers, Rolando

    2016-07-01

    In this paper we will describe how the Gemini South Engineering team has been reorganized from different functional units into a cross-disciplinary team while executing a transition plan that imposes several staff reductions, driven by budget reductions. Several factors are of critical importance to the success of any change in organization. Budgetary processes, staff diversity, leadership style, skill sets and planning are all important factors to take into account to achieve a successful outcome. We will analyze the organizational alignment by using some proven management models and concepts.

  13. Automated and connected vehicle (AV/CV) test bed to improve transit, bicycle, and pedestrian safety : concept of operations plan.

    DOT National Transportation Integrated Search

    2017-02-01

    This document presents the Concept of Operations (ConOps) Plan for the Automated and Connected Vehicle (AV/CV) Test Bed to Improve Transit, Bicycle, and Pedestrian Safety. As illustrated in Figure 1, the plan presents the overarching vision and goals...

  14. To plan or not to plan: Does planning for production remove facilitation from associative priming?

    PubMed

    Jongman, Suzanne R; Meyer, Antje S

    2017-11-01

    Theories of conversation propose that in order to have smooth transitions from one turn to the next, speakers already plan their response while listening to their interlocutor. Moreover, it has been argued that speakers align their linguistic representations (i.e. prime each other), thereby reducing the processing costs associated with concurrent listening and speaking. In two experiments, we assessed how identity and associative priming from spoken words onto picture naming were affected by a concurrent speech planning task. In a baseline (no name) condition, participants heard prime words that were identical, associatively related, or unrelated to target pictures presented two seconds after prime onset. Each prime was accompanied by a non-target picture and followed by its recorded name. The participant did not name the non-target picture. In the plan condition, the participants first named the non-target picture, instead of listening to the recording, and then the target. In Experiment 1, where the plan- and no-plan conditions were tested between participants, priming effects of equal strength were found in the plan and no-plan condition. In Experiment 2, where the two conditions were tested within participants, the identity priming effect was maintained, but the associative priming effect was only seen in the no-plan but not in the plan condition. In this experiment, participant had to decide at the onset of each trial whether or not to name the non-target picture, rendering the task more complex than in Experiment 1. These decision processes may have interfered with the processing of the primes. Thus, associative priming can take place during speech planning, but only if the cognitive load is not too high. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. 7 CFR 762.110 - Loan application.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... guarantees, plans to transition to organic or sustainable agriculture when the funds requested will be used... consideration for priority funding for CL guarantees, plans to transition to organic or sustainable agriculture...

  16. Strategies for a successful organizational transition. Identifying staff roles and fulfilling their needs during changing times.

    PubMed

    Herbst, D S; Dimmick, J E

    1995-01-01

    For a successful reorganization of the laboratory, there is a role for each staff member to play during the transition. The role of those in laboratory administration is that of leading change agent. Corporate support staff, such as those in a human resources department, can advise the laboratory director in their areas of expertise. The role of the medical and technical supervisory staff is that of chief implementers of the plan. General laboratory staff has a confusing dual role--not only must they continue to provide laboratory services during the transition, but they also may have to change what they are doing and how they are doing it. Success also depends on meeting the individual personal needs of staff. Laboratory directors and administrators want to make a meaningful contribution to health care. Corporate support staff need to feel that they are a part of the change process. Supervisors' needs vary--coping with the loss of identity, position, or territory will be difficult for some; others will want to be involved in all stages of planning and implementation. The major need of the general laboratory staff is stability. Strategies are listed for each staff grouping to help the laboratory director coordinate staff roles and satisfy staff needs during the transition period.

  17. Notes on Transition Planning for College. Practice Notes

    ERIC Educational Resources Information Center

    Center for Mental Health in Schools at UCLA, 2008

    2008-01-01

    All students can benefit from well-designed transition planning for college. With specific reference to those students identified for special education, middle and high schools have a responsibility under IDEA to focus on a range of transition interventions. Family stakeholders in a community need to work together to ensure the middle school and…

  18. Postsecondary Transition under IDEA 2004: A Legal Update

    ERIC Educational Resources Information Center

    Prince, Angela M. T.; Katsiyannis, Antonis; Farmer, Jennie

    2013-01-01

    Postsecondary transition planning for students with disabilities first entered the Individuals with Disabilities Education Act (IDEA) in 1990. The required provisions for transition planning were updated with the amendments to IDEA in 1997 and its reauthorization in 2004. Since IDEA 2004 took effect in July 2005, 11 court cases have been decided…

  19. Planning and Decision Making for Care Transitions

    PubMed Central

    Sörensen, Silvia; Mak, Wingyun; Pinquart, Martin

    2015-01-01

    The need to plan for future health care and residential adjustments increases with age, growing frailty, and restrictions in coverage of long-term care and will continue to grow with population aging. Older adults’ lack of financial preparation for health care costs, insufficient knowledge about available options, and inadequate communication about care-related values has become an increasing public health challenge. This chapter describes a model of Preparation for Future Care (PFC), which encompasses different levels and domains of planning. Research about the extent to which planning is helpful in navigating care transitions is reviewed, and barriers and facilitators of planning including individual, familial, cultural, and national long-term care policy factors are discussed. Planning in the context of dementia and practical approaches that can be taken to enhance PFC is addressed, as well as recommendations for future research in the area of planning and decision making in the context of care transitions. PMID:26207079

  20. Integrated Thermal Response Modeling System For Hypersonic Entry Vehicles

    NASA Technical Reports Server (NTRS)

    Chen, Y.-K.; Milos, F. S.; Partridge, Harry (Technical Monitor)

    2000-01-01

    We describe all extension of the Markov decision process model in which a continuous time dimension is included ill the state space. This allows for the representation and exact solution of a wide range of problems in which transitions or rewards vary over time. We examine problems based on route planning with public transportation and telescope observation scheduling.

  1. Vocational Rehabilitation Counselors' Perceived Influences on the Secondary Transition Planning Process and Postsecondary Outcomes of Students with Disabilities

    ERIC Educational Resources Information Center

    Miller-Warren, Vickie

    2014-01-01

    Outside agencies such as vocational rehabilitation agencies are designed to help provide services such as job coaching, mental health services, tuition assistance, and life-skills training for students with disabilities during and after high school so that they may obtain postsecondary success (Gil, 2007). This study examined the perceived…

  2. 2008 Enterprise Transition Plan (ETP)

    DTIC Science & Technology

    2008-09-30

    of contract data to entitlement systems . • Close coordination with contracting office resulted in an increase in the successful electronic ...2005 to the Fall of 2007, the DBSMC approved funding for 304 individual systems , representing $7.5B in modernization investment funding. These...industry has developed the processes and learned its lessons from working in Africa for generations . Leveraging this experience is

  3. Exact Solutions to Time-dependent Mdps

    NASA Technical Reports Server (NTRS)

    Boyan, Justin A.; Littman, Michael L.

    2000-01-01

    We describe an extension of the Markov decision process model in which a continuous time dimension is included in the state space. This allows for the representation and exact solution of a wide range of problems in which transitions or rewards vary over time. We examine problems based on route planning with public transportation and telescope observation scheduling.

  4. ACTDs: Management Plans as Predictors of Transition

    DTIC Science & Technology

    2007-12-01

    phase. Figure 2 shows the current ACTD funding model in place today and highlights the challenges involved in the process. Current ACTD Funding ... Model All other Sources (~70%) OSD AS&C Cash Resources (~30%) Army PE x PE x PE x PE x Navy PE x PE x PE x PE x USAF PE x PE x

  5. The Facts Ma'am, Just the Facts: Social Security Disability Benefit Programs and Work Incentives

    ERIC Educational Resources Information Center

    Brooke, Valerie; McDonough, Jennifer T.

    2008-01-01

    Individuals With Disabilities Education Act Amendments of 1997 (IDEA) requires that parents and students be involved in all aspects of the transition planning and decision-making process, and most teachers recognize that this involvement is vital to success. To fully participate effectively, students and their family members need to become…

  6. DOD Financial Management: Challenges in Attaining Audit Readiness and Improving Business Processes and Systems

    DTIC Science & Technology

    2012-04-18

    enterprise architecture and transition plan, and improved investment control processes. This statement is primarily based on GAO’s prior work...business system investments , they had not yet performed the key step of validating assessment results. GAO has made prior recommendations to address...be prepared no later than March 1, 1997. See 31 U.S.C. § 3515. 2An agency’s general fund accounts are those accounts in the U.S. Treasury holding

  7. Successful reentry: the perspective of private correctional health care providers.

    PubMed

    Mellow, Jeff; Greifinger, Robert B

    2007-01-01

    Due to public health and safety concerns, discharge planning is increasingly prioritized by correctional systems when preparing prisoners for their reintegration into the community. Annually, private correctional health care vendors provide $3 billion of health care services to inmates in correctional facilities throughout the U.S., but rarely are contracted to provide transitional health care. A discussion with 12 people representing five private nationwide correctional health care providers highlighted the barriers they face when implementing transitional health care and what templates of services health care companies could provide to state and counties to enhance the reentry process.

  8. Transit management certificate program.

    DOT National Transportation Integrated Search

    2012-07-01

    TTI worked closely with the Landscape Architecture and Urban Planning Department : (LAUP) of Texas A&M University (TAMU) to develop a transit management certificate : focus for the current Graduate Certificate in Transportation Planning (CTP) housed ...

  9. A Unified Theoretical Framework for Cognitive Sequencing.

    PubMed

    Savalia, Tejas; Shukla, Anuj; Bapi, Raju S

    2016-01-01

    The capacity to sequence information is central to human performance. Sequencing ability forms the foundation stone for higher order cognition related to language and goal-directed planning. Information related to the order of items, their timing, chunking and hierarchical organization are important aspects in sequencing. Past research on sequencing has emphasized two distinct and independent dichotomies: implicit vs. explicit and goal-directed vs. habits. We propose a theoretical framework unifying these two streams. Our proposal relies on brain's ability to implicitly extract statistical regularities from the stream of stimuli and with attentional engagement organizing sequences explicitly and hierarchically. Similarly, sequences that need to be assembled purposively to accomplish a goal require engagement of attentional processes. With repetition, these goal-directed plans become habits with concomitant disengagement of attention. Thus, attention and awareness play a crucial role in the implicit-to-explicit transition as well as in how goal-directed plans become automatic habits. Cortico-subcortical loops basal ganglia-frontal cortex and hippocampus-frontal cortex loops mediate the transition process. We show how the computational principles of model-free and model-based learning paradigms, along with a pivotal role for attention and awareness, offer a unifying framework for these two dichotomies. Based on this framework, we make testable predictions related to the potential influence of response-to-stimulus interval (RSI) on developing awareness in implicit learning tasks.

  10. A Unified Theoretical Framework for Cognitive Sequencing

    PubMed Central

    Savalia, Tejas; Shukla, Anuj; Bapi, Raju S.

    2016-01-01

    The capacity to sequence information is central to human performance. Sequencing ability forms the foundation stone for higher order cognition related to language and goal-directed planning. Information related to the order of items, their timing, chunking and hierarchical organization are important aspects in sequencing. Past research on sequencing has emphasized two distinct and independent dichotomies: implicit vs. explicit and goal-directed vs. habits. We propose a theoretical framework unifying these two streams. Our proposal relies on brain's ability to implicitly extract statistical regularities from the stream of stimuli and with attentional engagement organizing sequences explicitly and hierarchically. Similarly, sequences that need to be assembled purposively to accomplish a goal require engagement of attentional processes. With repetition, these goal-directed plans become habits with concomitant disengagement of attention. Thus, attention and awareness play a crucial role in the implicit-to-explicit transition as well as in how goal-directed plans become automatic habits. Cortico-subcortical loops basal ganglia-frontal cortex and hippocampus-frontal cortex loops mediate the transition process. We show how the computational principles of model-free and model-based learning paradigms, along with a pivotal role for attention and awareness, offer a unifying framework for these two dichotomies. Based on this framework, we make testable predictions related to the potential influence of response-to-stimulus interval (RSI) on developing awareness in implicit learning tasks. PMID:27917146

  11. Planning and Measurement in School to Work Transition.

    ERIC Educational Resources Information Center

    Kooi, Beverly Y.

    An analysis, development, and research (ADR) approach for planning educational research and development programs was used as a model for planning the National Institute of Education's School-To-Work Transition Program. The ADR model is system oriented and utilizes an iterative approach in which research questions are raised as others are answered.…

  12. Career Awareness, Career Planning, and Career Transition Needs among Sports Coaches

    ERIC Educational Resources Information Center

    Lavallee, David

    2006-01-01

    This study is conducted with 56 recently retired full-time sports coaches to examine the importance of career awareness, postsport career planning, and career transition needs. Results indicate that the individuals do not have a high level of career awareness, have done relatively little postsport career planning during their coaching careers, and…

  13. Making the Transition to Post-Secondary Education: Opportunities and Challenges Experienced by Students with ASD in the Republic of Ireland

    ERIC Educational Resources Information Center

    Bell, Sheena; Devecchi, Cristina; Mc Guckin, Conor; Shevlin, Michael

    2017-01-01

    Internationally there are increasing numbers of young people on the ASD spectrum attending higher education. Early transition planning is essential and students with ASD often require support to articulate their post-school educational goals and actively participate in transition planning meetings. Services within higher education are primarily…

  14. Transitioning from Distributed and Traditional to Distributed and Agile: An Experience Report

    NASA Astrophysics Data System (ADS)

    Wildt, Daniel; Prikladnicki, Rafael

    Global companies that experienced extensive waterfall phased plans are trying to improve their existing processes to expedite team engagement. Agile methodologies have become an acceptable path to follow because it comprises project management as part of its practices. Agile practices have been used with the objective of simplifying project control through simple processes, easy to update documentation and higher team iteration over exhaustive documentation, focusing rather on team continuous improvement and aiming to add value to business processes. The purpose of this chapter is to describe the experience of a global multinational company on transitioning from distributed and traditional to distributed and agile. This company has development centers across North America, South America and Asia. This chapter covers challenges faced by the project teams of two pilot projects, including strengths of using agile practices in a globally distributed environment and practical recommendations for similar endeavors.

  15. Remote sensing, geographical information systems, and spatial modeling for analyzing public transit services

    NASA Astrophysics Data System (ADS)

    Wu, Changshan

    Public transit service is a promising transportation mode because of its potential to address urban sustainability. Current ridership of public transit, however, is very low in most urban regions, particularly those in the United States. This woeful transit ridership can be attributed to many factors, among which poor service quality is key. Given this, there is a need for transit planning and analysis to improve service quality. Traditionally, spatially aggregate data are utilized in transit analysis and planning. Examples include data associated with the census, zip codes, states, etc. Few studies, however, address the influences of spatially aggregate data on transit planning results. In this research, previous studies in transit planning that use spatially aggregate data are reviewed. Next, problems associated with the utilization of aggregate data, the so-called modifiable areal unit problem (MAUP), are detailed and the need for fine resolution data to support public transit planning is argued. Fine resolution data is generated using intelligent interpolation techniques with the help of remote sensing imagery. In particular, impervious surface fraction, an important socio-economic indicator, is estimated through a fully constrained linear spectral mixture model using Landsat Enhanced Thematic Mapper Plus (ETM+) data within the metropolitan area of Columbus, Ohio in the United States. Four endmembers, low albedo, high albedo, vegetation, and soil are selected to model heterogeneous urban land cover. Impervious surface fraction is estimated by analyzing low and high albedo endmembers. With the derived impervious surface fraction, three spatial interpolation methods, spatial regression, dasymetric mapping, and cokriging, are developed to interpolate detailed population density. Results suggest that cokriging applied to impervious surface is a better alternative for estimating fine resolution population density. With the derived fine resolution data, a multiple route maximal covering/shortest path (MRMCSP) model is proposed to address the tradeoff between public transit service quality and access coverage in an established bus-based transit system. Results show that it is possible to improve current transit service quality by eliminating redundant or underutilized service stops. This research illustrates that fine resolution data can be efficiently generated to support urban planning, management and analysis. Further, this detailed data may necessitate the development of new spatial optimization models for use in analysis.

  16. Health plan approach to operationalizing a specialty drug management program.

    PubMed

    Tegenu, Mesfin

    2008-05-01

    Expenditures related to specialty drugs consume a significant percentage of available health care resources. Explain the process of transitioning the management of specialty drugs from medical services to pharmacy services in 2 managed care plans and provide insight into the issues encountered and solutions implemented based on 6 years of experience using traditional and innovative pharmacy utilization management tools to insure appropriate specialty drug use and reimbursement. The level of involvement in a specialty management program varies from managing only products dispensed by the retail, mail, and specialty pharmacy vendor to encompassing a broad list of specialty drugs distributed through a variety of channels. Efficient administrative, operational, and clinical processes are critical to the success of the program. Additionally, an accurate and timely claims processing procedure is also essential for success as is the ability to mine data and effectively report on the use of specialty products. A clinically sound, cost-effective, and patient-friendly program requires input from health plan members, pharmacy service leaders, and physician providers, and must overcome challenges associated with disrupting current relationships and removing competing incentives. A well-constructed and properly funded specialty drug management program results in clinical and financial benefits for the plan.

  17. The transition to adulthood of young adults with IDD: Parents' joint projects.

    PubMed

    Young, Richard A; Marshall, Sheila K; Stainton, Tim; Wall, Jessie M; Curle, Deirdre; Zhu, Ma; Munro, David; Murray, John; El Bouhali, Asmae; Parada, Filomena; Zaidman-Zait, Anat

    2018-03-01

    Parents have found the transition to adulthood for their sons or daughters with intellectual and/or developmental disabilities (IDD) particularly challenging. The literature has not examined how parents work together and with others in face of this transition nor has it highlighted parental goals in this process. This study used a perspective based on joint, goal-direct action to describe the projects that Canadian parents engaged in together and with others relative to this transition. Using the qualitative action-project method, joint projects between parents and with others were identified from their conversations and followed for 6 months. Three groups of projects were described: equipping the young adult for adult life, connecting for personal support and managing day-to-day while planning for the future. Parents act together and with others relative to the transition to adulthood of their young adult children with IDD. These projects are complex and differ in goals, steps, resources and emotional regulation and motivation. © 2017 John Wiley & Sons Ltd.

  18. Space Weather Modeling Services at the Community Coordinated Modeling Center

    NASA Technical Reports Server (NTRS)

    Hesse, Michael

    2006-01-01

    The Community Coordinated Modeling Center (CCMC) is a multi-agency partnership, which aims at the creation of next generation space weather models. The goal of the CCMC is to support the research and developmental work necessary to substantially increase the present-day modeling capability for space weather purposes, and to provide models for transition to the Rapid Prototyping Centers at the space weather forecast centers. This goal requires close collaborations with and substantial involvement of the research community. The physical regions to be addressed by CCMC-related activities range from the solar atmosphere to the Earth's upper atmosphere. The CCMC is an integral part of the National Space Weather Program Implementation Plan, of NASA's Living With a Star (LWS) initiative, and of the Department of Defense Space Weather Transition Plan. CCMC includes a facility at NASA Goddard Space Flight Center. CCMC also provides, to the research community, access to state-of-the-art space research models. In this paper we will provide a description of the current CCMC status, discuss current plans, research and development accomplishments and goals, and describe the model testing and validation process undertaken as part of the CCMC mandate. Special emphasis will be on solar and heliospheric models currently residing at CCMC, and on plans for validation and verification.

  19. Space Weather Modeling at the Community Coordinated Modeling Center

    NASA Technical Reports Server (NTRS)

    Hesse M.

    2005-01-01

    The Community Coordinated Modeling Center (CCMC) is a multi-agency partnership, which aims at the creation of next generation space weather models. The goal of the CCMC is to support the research and developmental work necessary to substantially increase the present-day modeling capability for space weather purposes, and to provide models for transition to the rapid prototyping centers at the space weather forecast centers. This goal requires dose collaborations with and substantial involvement of the research community. The physical regions to be addressed by CCMC-related activities range from the solar atmosphere to the Earth's upper atmosphere. The CCMC is an integral part of the National Space Weather Program Implementation Plan, of NASA's Living With a Star (LWS) initiative, and of the Department of Defense Space Weather Transition Plan. CCMC includes a facility at NASA Goddard Space Flight Center, as well as distributed computing facilities provided by the US Air Force. CCMC also provides, to the research community, access to state-of-the-art space research models. In this paper we will provide updates on CCMC status, on current plans, research and development accomplishments and goals, and on the model testing and validation process undertaken as part of the CCMC mandate. Special emphasis will be on solar and heliospheric models currently residing at CCMC, and on plans for validation and verification.

  20. Transition to Parenthood and Conjugal Life: Comparisons between Planned and Unplanned Pregnancies

    ERIC Educational Resources Information Center

    Bouchard, Genevieve; Boudreau, Jolene; Hebert, Renee

    2006-01-01

    One of the variables that could explain the considerable variety of ways that adult couples handle the transition to parenthood is whether the pregnancy was planned or not. However, very little is known about the impact of pregnancy intendedness on the conjugal life of couples during this transition. The aim of this study was to address this gap…

  1. Ten Tips That May Help Ease Your Child's Transition to Adulthood. PHP-c107

    ERIC Educational Resources Information Center

    PACER Center, 2005

    2005-01-01

    Planning for a child's transition from adolescence to adulthood is one of the most important things a parent can do to pave the way to a successful future. In Minnesota, special education transition planning and services begin when a child with a disability is fourteen. From then on, parents and their children will start learning new skills…

  2. The Quality and Effects of Secondary Transition Plans on Special Education Graduates' Postsecondary Outcomes and Their Effects on Secondary Transition

    ERIC Educational Resources Information Center

    Miller, Vickie

    2013-01-01

    The purpose of the study was to determine whether or not the implementation of special education graduates' secondary transition plans by a team of supporters such as teachers, parents, administrators, and postsecondary mentors were well-constructed and in alignment with the graduates' high school curriculum and intended postsecondary goals, as…

  3. Identifying Evidence Based Transition Strategies and the Barriers to Effective Transition Planning for Students with Learning Disabilities

    ERIC Educational Resources Information Center

    Meade, Shawn Brooks

    2017-01-01

    Transition planning has become an important topic in special education because it is a method for ensuring that students with disabilities are best prepared for life after high school. Students with disabilities tend to have more challenges with postsecondary success when compared to their non-disabled peers. In particular, students with learning…

  4. The Effect of Transition Planning Participation and Goal-Setting on College Enrollment among Youth with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Wei, Xin; Wagner, Mary; Hudson, Laura; Yu, Jennifer W.; Javitz, Harold

    2016-01-01

    This study used propensity score techniques to assess the relationship between transition planning participation and goal-setting and college enrollment among youth with Autism Spectrum Disorders. Using data from Waves 1 through 5 of the National Longitudinal Transition Study-2, this study found that 2- or 4-year college enrollment rates were…

  5. The Effect of Transition Planning and Goal-Setting on College Enrollment among Youth with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Wei, Xin; Wagner, Mary; Hudson, Laura; Yu, Jennifer W.; Javitz, Harold

    2016-01-01

    This study used propensity score techniques to assess the relationship between transition planning participation and goal-setting and college enrollment among youth with Autism Spectrum Disorders (ASDs). Using data from waves 1 through 5 of the National Longitudinal Transition Study-2, this study found that 2- or 4-year college enrollment rates…

  6. Louisiana SIP: LAC 33:III Ch. 14 Subchap B, 1431 to 1434--Conformity to State or Federal Implementation Plans of Transportation Plans, Programs, and Projects Developed, Funded, or Approved Under Title 23 U.S.C. or the Federal Transit Laws

    EPA Pesticide Factsheets

    Louisiana SIP: LAC 33:III Ch. 14 Subchap B, 1431 to 1434--Conformity to State or Federal Implementation Plans of Transportation Plans, Programs, and Projects Developed, Funded, or Approved Under Title 23 U.S.C. or the Federal Transit Laws

  7. Planning for Post-Regime Change Environments: The Introduction of a Post-Regime Environment Planning Partnership (PREPP)

    DTIC Science & Technology

    2016-05-26

    makers. The third case study, on Nigeria , will provide an analysis of a peaceful transition of power. Finally, the structure for a proposed Post...15. SUBJECT TERMS Regime Change, National Security Council, Kosovo, Libya, Nigeria , transition of power, post-regime change planning. 16. SECURITY...conflation that exists between the planning element and politically appointed decision makers. The third case study, on Nigeria , will provide an analysis of

  8. A New Planning Template for Transit-Oriented Development

    DOT National Transportation Integrated Search

    2001-09-01

    The Mineta Transportation Institute (MTI) at San Josi State University assigned a project team to design a planning template for transit-oriented development (TOD) that incorporates an understanding of nonwork travel, that is, trips for shopping, eat...

  9. 5 CFR 330.711 - Oversight.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PLACEMENT (GENERAL) Interagency Career Transition Assistance Plan for Displaced Employees § 330.711 Oversight. OPM is responsible for oversight of the Interagency Career Transition Assistance Plan for Displaced Employees and may conduct reviews of agency activity at any time. ...

  10. A Survey Study of College Students with Disabilities and Their Involvement in the IEP/Transition Planning Process

    ERIC Educational Resources Information Center

    Eddy, Steve Eugene

    2010-01-01

    Educating students with disabilities gained national attention in 1975 with the passage of Public Law 94-142 the Education of All Handicapped Children Act. This law provided students with disabilities with equal access to the same free and appropriate education as students without disabilities, and mandated that schools provide students with…

  11. Nanotechnology for aerospace: potential transitions from university research

    NASA Astrophysics Data System (ADS)

    Agee, Forrest J.

    2008-04-01

    Nanotechnology is expected to provide the fundamental basis of the next two generations of products and processes. Impacts for applications are already being felt in many fields, and there is interest especially in the aerospace industry, where performance is a major driver of decisions for applications. Four areas are receiving special emphasis in a program aimed at the Air Force's strategic focus on materials. The emphasis includes adaptive coatings and surface engineering, nanoenergetics, electromagnetic sensors, and power generation and storage. Seven universities in Texas have initiated the CONTACT program of focused research including nine projects in the first year, with plans for expansion in subsequent years. This paper discusses the focus, progress, and plans for the second year and opportunities for industry input to the scope and content of the research. A new model for the creation and guidance of research programs for industry is presented. The new approach includes interaction with the aerospace industry and the Air Force that provides a focus for the research. Results to date for the new method and for the research are presented. A discussion of nanoengineering technology transition into the aerospace industry highlights the mechanisms for enhancing the process and for dealing with intellectual property.

  12. Planning for retirement from medicine: a mixed-methods study.

    PubMed

    Pannor Silver, Michelle; Easty, Laura K

    2017-01-01

    Evidence suggests there are important personal and social consequences associated with inadequate retirement planning for physicians. We evaluated whether academic physicians felt satisfied with their retirement planning, and identified obstacles to retirement planning and a set of factors to facilitate retirement planning. We applied a sequential mixed-methods research design to explore and examine factors that facilitate academic physician retirement planning using data collected from multiple sources (including 7 focus groups, an internet-based survey and 23 in-depth interviews). We examined survey results regarding retirement planning satisfaction and preferences for complete versus gradual retirement. We used thematic analysis to examine verbatim transcripts and notes from the focus groups and interviews. Survey data (response rate 51%) indicated that 10% of respondents were very satisfied with their retirement planning and 89.5% would prefer to retire gradually rather than stop work completely. Key barriers to retirement planning that emerged included poor personal financial management, rigid institutional structures and professional norms. Facilitators included financial planning resources for physicians at multiple career stages, opportunities and resources for later-career transitions and later-career mentorship support for intergenerational collaboration, and recognition of retirees. Key findings highlight perceived barriers to retirement planning at various career stages in addition to factors that can enhance physicians' retirement planning, including creating gradual and flexible retirement options, supporting ongoing discussions about financial planning and later career transitions, and fostering a culture that continues to honour and involve retirees. Medical institutions could foster innovative models for later-career transitions from medicine in ways that address physicians' needs at various career stages, support gradual transitions from practice and recognize the value of experienced, capable later-career physicians and retirees.

  13. Planning for retirement from medicine: a mixed-methods study

    PubMed Central

    Pannor Silver, Michelle; Easty, Laura K.

    2017-01-01

    Background: Evidence suggests there are important personal and social consequences associated with inadequate retirement planning for physicians. We evaluated whether academic physicians felt satisfied with their retirement planning, and identified obstacles to retirement planning and a set of factors to facilitate retirement planning. Methods: We applied a sequential mixed-methods research design to explore and examine factors that facilitate academic physician retirement planning using data collected from multiple sources (including 7 focus groups, an internet-based survey and 23 in-depth interviews). We examined survey results regarding retirement planning satisfaction and preferences for complete versus gradual retirement. We used thematic analysis to examine verbatim transcripts and notes from the focus groups and interviews. Results: Survey data (response rate 51%) indicated that 10% of respondents were very satisfied with their retirement planning and 89.5% would prefer to retire gradually rather than stop work completely. Key barriers to retirement planning that emerged included poor personal financial management, rigid institutional structures and professional norms. Facilitators included financial planning resources for physicians at multiple career stages, opportunities and resources for later-career transitions and later-career mentorship support for intergenerational collaboration, and recognition of retirees. Interpretation: Key findings highlight perceived barriers to retirement planning at various career stages in addition to factors that can enhance physicians' retirement planning, including creating gradual and flexible retirement options, supporting ongoing discussions about financial planning and later career transitions, and fostering a culture that continues to honour and involve retirees. Medical institutions could foster innovative models for later-career transitions from medicine in ways that address physicians' needs at various career stages, support gradual transitions from practice and recognize the value of experienced, capable later-career physicians and retirees. PMID:28401128

  14. Transit Station Renovation: A Case Study of Planning and Design Procedures

    DOT National Transportation Integrated Search

    1979-06-01

    The general techniques and procedures for planning and evaluating transit : interface facilities are applied comprehensively to the problem of station : renovation. The 69th Street Terminal in Philadelphia is evaluated in terms of : its performance i...

  15. His and Her Job: What Matters Most for Fertility Plans and Actual Childbearing?

    ERIC Educational Resources Information Center

    Kaufman, Gayle; Bernhardt, Eva

    2012-01-01

    This study examines workplace culture and fertility plans and transitions in Sweden. This study goes beyond previous research in examining the effect of particular job characteristics as well as the influence of a partner's job characteristics on women's and men's birth plans and transitions. We use data from the 1999 and 2003 Swedish Young Adult…

  16. An Ecological Approach to Seeking and Utilising the Views of Young People with Intellectual Disabilities in Transition Planning

    ERIC Educational Resources Information Center

    Small, Neil; Raghavan, Raghu; Pawson, Nicole

    2013-01-01

    Transition planning using a person-centred approach has, in the main, failed to shape service provision. We offer an alternative based on an ecological understanding of human development linked to public health approaches that prioritise whole system planning. A total of 43 young people with intellectual disabilities, in Bradford, England, who…

  17. The Change of Planned Happenstance Skills and Its Association with Career-Related Variables during School-to-Work Transition

    ERIC Educational Resources Information Center

    Yang, NaYeon; Yaung, Huk; Noh, Hyunkyung; Jang, Sun Hee; Lee, Bora

    2017-01-01

    The current study examined how planned happenstance skills (i.e., curiosity, flexibility, persistence, optimism, and risk-taking) changed during school-to-work transition and how career-related variables were associated with the initial levels and change rates of planned happenstance skills. In a sample of 307 South Korean college students, all…

  18. Transitioning HIV-infected youth into adult health care.

    PubMed

    2013-07-01

    With advances in antiretroviral therapy, most HIV-infected children survive into adulthood. Optimal health care for these youth includes a formal plan for the transition of care from primary and/or subspecialty pediatric/adolescent/family medicine health care providers (medical home) to adult health care provider(s). Successful transition involves the early engagement and participation of the youth and his or her family with the pediatric medical home and adult health care teams in developing a formal plan. Referring providers should have a written policy for the transfer of HIV-infected youth to adult care, which will guide in the development of an individualized plan for each youth. The plan should be introduced to the youth in early adolescence and modified as the youth approaches transition. Assessment of developmental milestones is important to define the readiness of the youth in assuming responsibility for his or her own care before initiating the transfer. Communication among all providers is essential and should include both personal contact and a written medical summary. Progress toward the transition should be tracked and,once completed, should be documented and assessed.

  19. An Examination of the Impact of the IEP Team Composition and Transition Planning upon the Success of Students with Disabilities in Urban Districts

    ERIC Educational Resources Information Center

    Hill, Petrina D.

    2010-01-01

    The primary purpose of this correlational study was to examine the impact of IEP team composition (team member attendance) and transition planning (types of transition outcomes) upon the success (graduation) of students with disabilities in urban districts. Other factors also included gender, academic status of school, socioeconomic status of the…

  20. Status of the Combined Cycle Engine Rig

    NASA Technical Reports Server (NTRS)

    Saunders, Dave; Slater, John; Dippold, Vance

    2009-01-01

    Status for the past year is provided of the turbine-based Combined-Cycle Engine (CCE) Rig for the hypersonic project. As part of the first stage propulsion of a two-stage-to-orbit vehicle concept, this engine rig is designed with a common inlet that supplies flow to a turbine engine and a dual-mode ramjet / scramjet engine in an over/under configuration. At Mach 4 the inlet has variable geometry to switch the airflow from the turbine to the ramjet / scramjet engine. This process is known as inlet mode-transition. In addition to investigating inlet aspects of mode transition, the rig will allow testing of turbine and scramjet systems later in the test series. Fully closing the splitter cowl "cocoons" the turbine engine and increases airflow to the scramjet duct. The CCE Rig will be a testbed to investigate integrated propulsion system and controls technology objectives. Four phases of testing are planned to 1) characterize the dual inlet database, 2) collect inlet dynamics using system identification techniques, 3) implement an inlet control to demonstrate mode-transition scenarios and 4) demonstrate integrated inlet/turbine engine operation through mode-transition. Status of the test planning and preparation activities is summarized with background on the inlet design and small-scale testing, analytical CFD predictions and some details of the large-scale hardware. The final stages of fabrication are underway.

  1. Rehabilitation between institutional and non-institutional forensic psychiatric care: important influences on the transition process.

    PubMed

    Gustafsson, E; Holm, M; Flensner, G

    2012-10-01

    All patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition from institutional to non-institutional FPC, but a number of patients do not succeed. The aim of this study was to elucidate different caregivers' experiences of aspects that influence the patients' ability to manage this rehabilitation. A qualitative approach was chosen. Data were collected by interviews in two focus groups, each group comprising of six caregivers representing both institutional and non-institutional FPC. The transcribed interviews were analysed using a qualitative content analysis. Important aspects influencing the patients' transition described were a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person/advocate. A major barrier to a successful transition was whether the patients managed their own finances or not. It was stated that it is important that the patients participate in the care and that different authorities create individual conditions and flexible solutions. All of these factors are important to focus on when caring for patients during their stay in the institutional FPC. © 2011 Blackwell Publishing.

  2. Multigeneration data migration from legacy systems

    NASA Astrophysics Data System (ADS)

    Ratib, Osman M.; Liu, Brent J.; Kho, Hwa T.; Tao, Wenchao; Wang, Cun; McCoy, J. Michael

    2003-05-01

    The migration of image data from different generations of legacy archive systems represents a technical challenge and in incremental cost in transitions to newer generations of PACS. UCLA medical center has elected to completely replace the existing PACS infrastructure encompassing several generations of legacy systems by a new commercial system providing enterprise-wide image management and communication. One of the most challenging parts of the project was the migration of large volumes of legacy images into the new system. Planning of the migration required the development of specialized software and hardware, and included different phases of data mediation from existing databases to the new PACS database prior to the migration of the image data. The project plan included a detailed analysis of resources and cost of data migration to optimize the process and minimize the delay of a hybrid operation where the legacy systems need to remain operational. Our analysis and project planning showed that the data migration represents the most critical path in the process of PACS renewal. Careful planning and optimization of the project timeline and resources allocated is critical to minimize the financial impact and the time delays that such migrations can impose on the implementation plan.

  3. General Vehicle Test Plan (GVTP) for Urban Rail Transit Cars

    DOT National Transportation Integrated Search

    1977-09-01

    The General Vehicle Test Plan provides a system for general vehicle testing and for documenting and utilizing data and information in the testing of urban rail transit cars. Test procedures are defined for nine categories: (1) Performance; (2) Power ...

  4. National study on carless and special needs populations mobilizing your community for emergency evacuation.

    DOT National Transportation Integrated Search

    2012-12-01

    The National Study on Carless and Special Needs Evacuation Planning was a multi-year study funded by the Federal Transit Administration : to research how state Departments of Transportation (DOTs), metropolitan planning organizations (MPOs), transit ...

  5. Minnesota urban partnership agreement national evaluation : transit system data test plan.

    DOT National Transportation Integrated Search

    2009-11-17

    This report presents the test plan for collecting and analyzing transit system data for the Minnesota Urban Partnership Agreement (UPA) National Evaluation under the United States Department of Transportation (U.S. DOT) UPA Program. The Minnesota UPA...

  6. KSC-2012-5040

    NASA Image and Video Library

    2012-09-13

    CAPE CANAVERAL, Fla. – In Bay 2 of the Orbiter Processing Facility at NASA's Kennedy Space Center in Florida, the space shuttle Atlantis' payload bay is being configured for display at the Kennedy Space Center Visitor Complex. Plans call for the orbiter to be transferred to the Visitor Complex in November. The work is part of Transition and Retirement of the remaining space shuttles, Atlantis and Endeavour. Atlantis is being prepared for public display at Kennedy's Visitor Complex. Over the course of its 26-year career, Atlantis spent 293 days in space during 33 missions. For more information, visit http://www.nasa.gov/transition Photo credit: NASA/Jim Grossmann

  7. Transit emergency planning guidance.

    DOT National Transportation Integrated Search

    2007-07-01

    Providing safe, reliable transportation has long been a priority at all levels of : the transit industry including the Federal Transit Administration (FTA), : state Departments of Transportation and individual transit providers. Over the : last decad...

  8. Recommended emergency preparedness guidelines for elderly and disabled rail-transit passengers. Final report, November 1987-March 1989

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hathaway, W.T.; Markos, S.H.; Balog, J.N.

    1989-08-01

    Rail transit has become an important source of transportation for many elderly and disabled persons. The principal reasons for the increased use are improved accessibility, low cost, and expanded areas of service. For the purposes of the report, 'elderly' is defined as any member of the population who is 60 years of age or older, and 'disabled' is defined as any person who has some type of disability. The Urban Mass Transportation Administration (UMTA) has recognized the need to consider the unique characteristics of elderly and disabled passengers in rail-transit emergency response planning. The needs of these passengers can bemore » addressed through carefully planned emergency response procedures, proper training of transit and emergency-response personnel, and effective use of equipment. The recommendations contained herein are therefore intended to assist rail-transit and emergency response organization personnel in evaluating their emergency response plans in terms of the needs of elderly and disabled passengers and, if necessary, to modify or supplement those plans accordingly. The report is intended to supplement the UMTA publication Recommended Emergency Preparedness Guidelines for Rail Transit Systems. That report contains general guidelines designed to assist rail-transit systems in assessing, developing, documenting, and improving their capabilities for responding to emergencies and in coordinating those efforts with emergency response organizations.« less

  9. The Applied Meteorology Unit: Nineteen Years Successfully Transitioning Research into Operations for America's Space Program

    NASA Technical Reports Server (NTRS)

    Madura, John T.; Bauman, William H.; Merceret, Francis J.; Roeder, William P.; Brody, Frank C.; Hagemeyer, Bartlett C.

    2010-01-01

    The Applied Meteorology Unit (AMU) provides technology transition and technique development to improve operational weather support to the Space Shuttle and the entire American space program. The AMU is funded and managed by NASA and operated by a contractor that provides five meteorologists with a diverse mix of advanced degrees, operational experience, and associated skills including data processing, statistics, and the development of graphical user interfaces. The AMU's primary customers are the U.S. Air Force 45th Weather Squadron at Patrick Air Force Base, the National Weather Service Spaceflight Meteorology Group at NASA Johnson Space Center, and the National Weather Service Melbourne FL Forecast Office. The AMU has transitioned research into operations for nineteen years and worked on a wide range of topics, including new forecasting techniques for lightning probability, synoptic peak winds,.convective winds, and summer severe weather; satellite tools to predict anvil cloud trajectories and evaluate camera line of sight for Space Shuttle launch; optimized radar scan strategies; evaluated and implemented local numerical models; evaluated weather sensors; and many more. The AMU has completed 113 projects with 5 more scheduled to be completed by the end of 2010. During this rich history, the AMU and its customers have learned many lessons on how to effectively transition research into operations. Some of these lessons learned include collocating with the operational customer and periodically visiting geographically separated customers, operator submitted projects, consensus tasking process, use of operator primary advocates for each project, customer AMU liaisons with experience in both operations and research, flexibility in adapting the project plan based on lessons learned during the project, and incorporating training and other transition assistance into the project plans. Operator involvement has been critical to the AMU's remarkable success and many awards from NASA, the National Weather Association, and two citations from the Navy's Center of Excellence for Best Manufacturing Practices. This paper will present the AMU's proven methods and explain how they may be applied by other organizations to effectively transition research into operations.

  10. Transit Security Procedures Guide

    DOT National Transportation Integrated Search

    1994-12-01

    To protect passenger, employees, revenue, and property, transit systems are encouraged to take a proactive, prevention-oriented systems approach to transit security. This guide is a compilation of materials for planning and improving transit security...

  11. Rural transit emergency planning guidance.

    DOT National Transportation Integrated Search

    2008-07-01

    Providing safe, reliable transportation has long been a priority at all levels of the transit industry including the Federal Transit Administration (FTA), California Department of Transportation (Caltrans) and individual transit providers. Over the l...

  12. Resistance is Futile: STScI's Science Planning and Scheduling Team Switches From VMS to Unix Operations

    NASA Astrophysics Data System (ADS)

    Adler, D. S.

    2000-12-01

    The Science Planning and Scheduling Team (SPST) of the Space Telescope Science Institute (STScI) has historically operated exclusively under VMS. Due to diminished support for VMS-based platforms at STScI, SPST is in the process of transitioning to Unix operations. In the summer of 1999, SPST selected Python as the primary scripting language for the operational tools and began translation of the VMS DCL code. As of October 2000, SPST has installed a utility library of 16 modules consisting of 8000 lines of code and 80 Python tools consisting of 13000 lines of code. All tasks related to calendar generation have been switched to Unix operations. Current work focuses on translating the tools used to generate the Science Mission Specifications (SMS). The software required to generate the Mission Schedule and Command Loads (PASS), maintained by another team at STScI, will take longer to translate than the rest of the SPST operational code. SPST is planning on creating tools to access PASS from Unix in the short term. We are on schedule to complete the work needed to fully transition SPST to Unix operations (while remotely accessing PASS on VMS) by the fall of 2001.

  13. Process evaluation of discharge planning implementation in healthcare using normalization process theory.

    PubMed

    Nordmark, Sofi; Zingmark, Karin; Lindberg, Inger

    2016-04-27

    Discharge planning is a care process that aims to secure the transfer of care for the patient at transition from home to the hospital and back home. Information exchange and collaboration between care providers are essential, but deficits are common. A wide range of initiatives to improve the discharge planning process have been developed and implemented for the past three decades. However, there are still high rates of reported medical errors and adverse events related to failures in the discharge planning. Using theoretical frameworks such as Normalization Process Theory (NPT) can support evaluations of complex interventions and processes in healthcare. The aim of this study was to explore the embedding and integration of the DPP from the perspective of registered nurses, district nurses and homecare organizers. The study design was explorative, using the NPT as a framework to explore the embedding and integration of the DPP. Data consisted of written documentation from; workshops with staff, registered adverse events and system failures, web based survey and individual interviews with staff. Using the NPT as a framework to explore the embedding and integration of discharge planning after 10 years in use showed that the staff had reached a consensus of opinion of what the process was (coherence) and how they evaluated the process (reflexive monitoring). However, they had not reached a consensus of opinion of who performed the process (cognitive participation) and how it was performed (collective action). This could be interpreted as the process had not become normalized in daily practice. The result shows necessity to observe the implementation of old practices to better understand the needs of new ones before developing and implementing new practices or supportive tools within healthcare to reach the aim of development and to accomplish sustainable implementation. The NPT offers a generalizable framework for analysis, which can explain and shape the implementation process of old practices, before further development of new practices or supportive tools.

  14. 47 CFR 301.120 - Reports on Agency Transition Plans.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Reports on Agency Transition Plans. 301.120 Section 301.120 Telecommunication NATIONAL TELECOMMUNICATIONS AND INFORMATION ADMINISTRATION, DEPARTMENT OF COMMERCE RELOCATION OF AND SPECTRUM SHARING BY FEDERAL GOVERNMENT STATIONS Technical Panel § 301...

  15. San Francisco urban partnership agreement, national evaluation : transit system data test plan.

    DOT National Transportation Integrated Search

    2011-06-01

    This report presents the test plan for collecting and analyzing the transit system data for the San Francisco Urban Partnership Agreement (UPA) under the United States Department of Transportation (U.S. DOT) UPA Program. The San Francisco UPA project...

  16. Medicaid beneficiaries in california reported less positive experiences when assigned to a managed care plan.

    PubMed

    McDonnell, Diana D; Graham, Carrie L

    2015-03-01

    In 2011 California began transitioning approximately 340,000 seniors and people with disabilities from Medicaid fee-for-service (FFS) to Medicaid managed care plans. When beneficiaries did not actively choose a managed care plan, the state assigned them to one using an algorithm based on their previous FFS primary and specialty care use. When no clear link could be established, beneficiaries were assigned by default to a managed care plan based on weighted randomization. In this article we report the results of a telephone survey of 1,521 seniors and people with disabilities enrolled in Medi-Cal (California Medicaid) and who were recently transitioned to a managed care plan. We found that 48 percent chose their own plan, 11 percent were assigned to a plan by algorithm, and 41 percent were assigned to a plan by default. People in the latter two categories reported being similarly less positive about their experiences compared to beneficiaries who actively chose a plan. Many states in addition to California are implementing mandatory transitions of Medicaid-only beneficiaries to managed care plans. Our results highlight the importance of encouraging beneficiaries to actively choose their health plan; when beneficiaries do not choose, states should employ robust intelligent assignment algorithms. Project HOPE—The People-to-People Health Foundation, Inc.

  17. Mid-Life and Career Transitions. The Career Life Assessment Skills Series, Booklet Six. A Program to Meet Adult Developmental Needs.

    ERIC Educational Resources Information Center

    Curtin, Bernadette M.; Hecklinger, Fred J.

    Information and accompanying exercises in this four-part booklet are designed to assist adults make changes in their career and personal lives. After introductory material describing career and life planning as a continual assessment process, Part I of the booklet reviews the common characteristics and problems of adults in each of five life…

  18. Postsecondary Expectations for a Student in a Rural Middle School: Impact of Person-Centered Planning on Team Member Agreement

    ERIC Educational Resources Information Center

    Wells, Jenny C.; Sheehey, Patricia H.; Moore, Amy N.

    2012-01-01

    This article describes the impact of a MAPS process on team member agreement on postsecondary expectations and goals for a middle school student with Autism Spectrum Disorders in a rural area. The results revealed similarities and differences in the beliefs and expectations of the participants on the transition team and that the MAPS approach…

  19. Manage Toward Success - Utilization of Analytics in Acquisition Decision Making

    DTIC Science & Technology

    2015-04-01

    on the concept of knowledge- based acquisition described by the GAO. In the GAO (2005) report for National Aeronautics and Space Administration ( NASA ...acquisition programs, GAO recommended to NASA , and NASA subsequently con- curred, that transition to a knowledge-based acquisition framework will...Certification and Accreditation Process; ERAM = Enterprise Risk Assessment Manager; EVMS = Earned Value Management System; GOV = Government; POA&M = Plan of

  20. Integrated Processing in Planning and Understanding.

    DTIC Science & Technology

    1986-12-01

    to language analysis seemed necessary. The second observation was the rather commonsense one that it is easier to understand a foreign language ...syntactic analysis Probably the most widely employed method for natural language analysis is augmea ted transition network parsing, or ATNs (Thorne, Bratley...accomplished. It is for this reason that the programming language Prolog, which implements that general method , has proven so well-stilted to writing ATN

  1. Transitioning Domain Analysis: An Industry Experience.

    DTIC Science & Technology

    1996-06-01

    References 6 Implementation 6.1 Analysis of Operator Services’ Requirements Process 21 6.2 Preliminary Planning for FODA Training by SEI 21...an academic and industry partnership took feature oriented domain analysis ( FODA ) from a methodology that is still being defined to a well-documented...to pilot the use of the Software Engineering Institute (SEI) domain analysis methodology known as feature-oriented domain analysis ( FODA ). Supported

  2. Stimulating Resources to Cope with Challenging Times and New Realities: Effectiveness of a Career Intervention

    ERIC Educational Resources Information Center

    Ginevra, Maria Cristina; Di Maggio, Ilaria; Nota, Laura; Soresi, Salvatore

    2017-01-01

    A career intervention based on life design approach was devised for a group of young adults at risk for the process of career construction. It was aimed at fostering a series of resources useful to cope with career transitions, to encourage reflection on the future, to identify one's own strengths, and to plan future projects. Results of the study…

  3. Integrating an EMR-based Transition Planning Tool for CYSHCN at a Children's Hospital: A Quality Improvement Project to Increase Provider Use and Satisfaction

    PubMed Central

    Wiemann, Constance M.; Hergenroeder, Albert C.; Bartley, Krystle A.; Sanchez-Fournier, Blanca; Hilliard, Marisa E.; Warren, Laura J.; Graham, Sarah C.

    2016-01-01

    An electronic medical record (EMR)-based transition planning tool (TPT) designed to facilitate transition from pediatric to adult-based health care for youth (16–25 years) with special health care needs was introduced at a large children's hospital. Activities to increase provider use were implemented in five plan–do–study–act cycles. Overall, 22 of 25 (88%) consenting providers in four pediatric subspecialty services used the TPT during 303 patient encounters, with nurses and case-managers the top users and physicians the least likely users. Use was highest with intensive technical assistance and following the introduction of an upgraded tool. Provider satisfaction with the TPT and self-reported transition planning activities notably increased across the PDSA cycles. PMID:26209173

  4. Local energy governance in vermont: an analysis of energy system transition strategies and actor capacity

    NASA Astrophysics Data System (ADS)

    Rowse, Tarah

    While global, national, and regional efforts to address climate and energy challenges remain essential, local governments and community groups are playing an increasingly stronger and vital role. As an active state in energy system policy, planning and innovation, Vermont offers a testing ground for research into energy governance at the local level. A baseline understanding of the energy planning and energy organizing activities initiated at the local level can support efforts to foster a transition to a sustainable energy system in Vermont. Following an inductive, applied and participatory approach, and grounded in the fields of sustainability transitions, energy planning, and community energy, this research project identifies conditions for change, including opportunities and challenges, within Vermont energy system decision-making and governance at the local level. The following questions are posed: What are the main opportunities and challenges for sustainable energy development at the town level? How are towns approaching energy planning? What are the triggers that will facilitate a faster transition to alternative energy systems, energy efficiency initiatives, and localized approaches? In an effort to answer these questions two studies were conducted: 1) an analysis of municipal energy plans, and 2) a survey of local energy actors. Study 1 examined Vermont energy planning at the state and local level through a review and comparison of 40 municipal plan energy chapters with the state 2011 Comprehensive Energy Plan. On average, municipal plans mentioned just over half of the 24 high-level strategies identified in the Comprehensive Energy Plan. Areas of strong and weak agreement were examined. Increased state and regional interaction with municipal energy planners would support more holistic and coordinated energy planning. The study concludes that while municipalities are keenly aware of the importance of education and partnerships, stronger policy mechanisms and financial stimulus are essential if Vermont hopes to increase strategic energy planning alignment and spur whole-scale energy system change. Study 2 examined local energy actors to assess their ability to develop and sustain energy action on the local level. A survey of 120 municipalities collected statewide baseline data covering the structures, processes, and activities of local energy actors. The analysis examined the role that various forms of capacity play in local energy activity. The results show that towns with higher incomes are more likely to have local energy actors and towns with higher populations have higher aggregate energy activity levels. Structurally, energy actors that had both an energy coordinator and an energy committee were more active, and municipal committees were more active than independent committees. Access to a budget and volunteer engagement were both associated with higher activity levels. The network of local energy actors in Vermont consists of committed and knowledgeable volunteers. Yet, the capacity of these local energy actors to implement sustainable energy change is limited due to resource constraints of time and money. In most cases, the scope of municipal energy planning strategy is modest. Prioritization of strategy and action at the central and local levels, along with increased interaction and coordination, is necessary to increase the regional compatibility and pace of energy system transformation.

  5. Track and mode controller (TMC): a software executive for a high-altitude pointing and tracking experiment

    NASA Astrophysics Data System (ADS)

    Michnovicz, Michael R.

    1997-06-01

    A real-time executive has been implemented to control a high altitude pointing and tracking experiment. The track and mode controller (TMC) implements a table driven design, in which the track mode logic for a tracking mission is defined within a state transition diagram (STD). THe STD is implemented as a state transition table in the TMC software. Status Events trigger the state transitions in the STD. Each state, as it is entered, causes a number of processes to be activated within the system. As these processes propagate through the system, the status of key processes are monitored by the TMC, allowing further transitions within the STD. This architecture is implemented in real-time, using the vxWorks operating system. VxWorks message queues allow communication of status events from the Event Monitor task to the STD task. Process commands are propagated to the rest of the system processors by means of the SCRAMNet shared memory network. The system mode logic contained in the STD will autonomously sequence in acquisition, tracking and pointing system through an entire engagement sequence, starting with target detection and ending with aimpoint maintenance. Simulation results and lab test results will be presented to verify the mode controller. In addition to implementing the system mode logic with the STD, the TMC can process prerecorded time sequences of commands required during startup operations. It can also process single commands from the system operator. In this paper, the author presents (1) an overview, in which he describes the TMC architecture, the relationship of an end-to-end simulation to the flight software and the laboratory testing environment, (2) implementation details, including information on the vxWorks message queues and the SCRAMNet shared memory network, (3) simulation results and lab test results which verify the mode controller, and (4) plans for the future, specifically as to how this executive will expedite transition to a fully functional system.

  6. Tug fleet and ground operations schedules and controls. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    1975-01-01

    This study presents Tug Fleet and Ground Operations Schedules and Controls plan. This plan was developed and optimized out of a combination of individual Tug program phased subplans, special emphasis studies, contingency analyses and sensitivity analyses. The subplans cover the Tug program phases: (1) Tug operational, (2) Interim Upper Stage (IUS)/Tug fleet utilization, (3) and IUS/Tug payload integration, (4) Tug site activation, (5) IUS/Tug transition, (6) Tug acquisition. Resource requirements (facility, GSE, TSE, software, manpower, logistics) are provided in each subplan, as are appropriate Tug processing flows, active and total IUS and Tug fleet requirements, fleet management and Tug payload integration concepts, facility selection recommendations, site activation and IUS to Tug transition requirements. The impact of operational concepts on Tug acquisition is assessed and the impact of operating Tugs out of KSC and WTR is analyzed and presented showing WTR as a delta. Finally, cost estimates for fleet management and ground operations of the DDT&E and operational phases of the Tug program are given.

  7. Feasibility study of transportation management strategies in the Poplar Corridor, Memphis, Tennessee

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Siniard, D.

    1990-02-01

    This report documents the development and implementation of various transportation management strategies aimed at alleviating traffic congestion problems in the Poplar Corridor, a major transportation corridor located in a rapidly growing suburban area of Memphis, Tennessee. The project provided the opportunity for local governments to work with the private sector in a joint venture to address traffic congestion problems and to promote more efficient use of the area's transportation network. The project was carried out by the staff of Memphis Area Rideshare, a joint city/county agency which provides transit information and free carpool/vanpool computer matching services to area commuters. Publicmore » sector participants in the planning process included transportation and land use planners from the Office of Planning and Development, city traffic engineers, and representatives from the Memphis Area Transit Authority (MATA). Private sector input came from major developers and employers in the Poplar Corridor and from officials of schools located in the area.« less

  8. 41 CFR 101-4.230 - Transition plans.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true Transition plans. 101-4.230 Section 101-4.230 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 4-NONDISCRIMINATION ON THE BASIS OF SEX IN...

  9. 5 CFR 330.607 - Notification of surplus and displaced employees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... REGULATIONS RECRUITMENT, SELECTION, AND PLACEMENT (GENERAL) Agency Career Transition Assistance Plans (CTAP... available to them under the agency's Career Transition Assistance Plan. Such information must contain... notice must include information on the results of an independent, second review conducted by the agency...

  10. Career Preparation: A Longitudinal, Process-Oriented Examination

    PubMed Central

    Stringer, Kate; Kerpelman, Jennifer; Skorikov, Vladimir

    2011-01-01

    Preparing for an adult career through careful planning, choosing a career, and gaining confidence to achieve career goals is a primary task during adolescence and early adulthood. The current study bridged identity process literature and career construction theory (Savickas, 2005) by examining the commitment component of career adaptability, career preparation (i.e., career planning, career decision-making, and career confidence), from an identity process perspective (Luyckx, Goossens, & Soenens, 2006). Research has suggested that career preparation dimensions are interrelated during adolescence and early adulthood; however, what remains to be known is how each dimension changes over time and the interrelationships among the dimensions during the transition from high school. Drawing parallels between career preparation and identity development dimensions, the current study addressed these questions by examining the patterns of change in each career preparation dimension and parallel process models that tested associations among the slopes and intercepts of the career preparation dimensions. Results showed that the career preparation dimensions were not developing similarly over time, although each dimension was associated cross-sectionally and longitudinally with the other dimensions. Results also suggested that career planning and decision-making precede career confidence. The results of the current study supported career construction theory and showed similarities between the processes of career preparation and identity development. PMID:21804641

  11. Career Preparation: A Longitudinal, Process-Oriented Examination.

    PubMed

    Stringer, Kate; Kerpelman, Jennifer; Skorikov, Vladimir

    2011-08-01

    Preparing for an adult career through careful planning, choosing a career, and gaining confidence to achieve career goals is a primary task during adolescence and early adulthood. The current study bridged identity process literature and career construction theory (Savickas, 2005) by examining the commitment component of career adaptability, career preparation (i.e., career planning, career decision-making, and career confidence), from an identity process perspective (Luyckx, Goossens, & Soenens, 2006). Research has suggested that career preparation dimensions are interrelated during adolescence and early adulthood; however, what remains to be known is how each dimension changes over time and the interrelationships among the dimensions during the transition from high school. Drawing parallels between career preparation and identity development dimensions, the current study addressed these questions by examining the patterns of change in each career preparation dimension and parallel process models that tested associations among the slopes and intercepts of the career preparation dimensions. Results showed that the career preparation dimensions were not developing similarly over time, although each dimension was associated cross-sectionally and longitudinally with the other dimensions. Results also suggested that career planning and decision-making precede career confidence. The results of the current study supported career construction theory and showed similarities between the processes of career preparation and identity development.

  12. SU-F-J-114: On-Treatment Imagereconstruction Using Transit Images of Treatment Beams Through Patient and Thosethrough Planning CT Images

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lee, H; Cho, S; Cheong, K

    Purpose: To reconstruct patient images at the time of radiation delivery using measured transit images of treatment beams through patient and calculated transit images through planning CT images. Methods: We hypothesize that the ratio of the measured transit images to the calculated images may provide changed amounts of the patient image between times of planning CT and treatment. To test, we have devised lung phantoms with a tumor object (3-cm diameter) placed at iso-center (simulating planning CT) and off-center by 1 cm (simulating treatment). CT images of the two phantoms were acquired; the image of the off-centered phantom, unavailable clinically,more » represents the reference on-treatment image in the image quality of planning CT. Cine-transit images through the two phantoms were also acquired in EPID from a non-modulated 6 MV beam when the gantry was rotated 360 degrees; the image through the centered phantom simulates calculated image. While the current study is a feasibility study, in reality our computational EPID model can be applicable in providing accurate transit image from MC simulation. Changed MV HU values were reconstructed from the ratio between two EPID projection data, converted to KV HU values, and added to the planning CT, thereby reconstructing the on-treatment image of the patient limited to the irradiated region of the phantom. Results: The reconstructed image was compared with the reference image. Except for local HU differences>200 as a maximum, excellent agreement was found. The average difference across the entire image was 16.2 HU. Conclusion: We have demonstrated the feasibility of a method of reconstructing on-treatment images of a patient using EPID image and planning CT images. Further studies will include resolving the local HU differences and investigation on the dosimetry impact of the reconstructed image.« less

  13. A Strategic Plan for Integrating ICD-10 in Your Practice and Workflow.

    PubMed

    Bowman, Sue; Cleland, Risë Marie; Staggs, Stuart

    2015-01-01

    The adoption of the International Classification of Disease (ICD) 10th Revision (ICD-10) diagnosis code set in the United States has been legislatively delayed several times with the most recent date for implementation set for October 1, 2015. The transition from ICD-9 to ICD-10 will be a major undertaking that will require a substantial amount of planning. In the following article, we outline the steps to develop and implement a strategic plan for the transition to the new code set, identify training needs throughout the practice, and review the challenges and opportunities associated with the transition to ICD-10.

  14. Customized sampling plans : a guide to alternative sampling techniques for National Transit Database reporting

    DOT National Transportation Integrated Search

    2004-05-01

    For estimating the system total unlinked passenger trips and passenger miles of a fixed-route bus system for the National Transit Database (NTD), the FTA approved sampling plans may either over-sample or do not yield FTAs required confidence and p...

  15. Characteristics of Transition Planning and Services for Students with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Trainor, Audrey A.; Morningstar, Mary E.; Murray, Angela

    2016-01-01

    Transition planning is conceptually and empirically linked to successful postschool outcomes for adolescents with disabilities and has been legally mandated for more than two decades. Unfortunately, young adults with high-incidence disabilities, including learning disabilities (LD), emotional disabilities (ED), and attention-deficit/hyperactivity…

  16. A Collaborative Step-Wise Process to Implementing an Innovative Clinic for Adult Survivors of Childhood Cancer.

    PubMed

    McClellan, Wendy; Fulbright, Joy M; Doolittle, Gary C; Alsman, Kyla; Klemp, Jennifer R; Ryan, Robin; Nelson, Eve-Lynn; Stegenga, Kristin; Krebill, Hope; Al-hihi, Eyad M; Schuetz, Nik; Heiman, Ashley; Lowry, Becky

    2015-01-01

    With a 5 year survival rate of approximately 80%, there is an increasing number of childhood cancer survivors in the United States. Childhood cancer survivors are at an increased risk for physical and psychosocial health problems many years after treatment. Long-term follow-up care should include education, development of individualized follow up plans and screening for health problems in accordance with the Children's Oncology Group survivor guidelines. Due to survivor, provider and healthcare system related barriers, adult survivors of childhood cancer (ASCC) infrequently are receiving care in accordance to these guidelines. In this paper we describe the stepwise process and collaboration between a children's hospital and an adult academic medical center that was implemented to develop the Survivorship Transition Clinic and address the needs of ASCC in our region. In the clinic model that we designed ASCC follow-up with a primary care physician in the adult setting who is knowledgeable about late effects of childhood cancer treatment and are provided transition support and education by a transition nurse navigator. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Transit-oriented development (TOD) in metro Detroit.

    DOT National Transportation Integrated Search

    2014-03-01

    The term transit-oriented development (TOD) is being used increasingly in transit literature, particularly in studies related to : planning and design of urban rail transit. TOD relates to the integration of diverse (but desirable) land uses with tra...

  18. Transit Project Planning Guidance : Estimation of Transit Supply Parameters

    DOT National Transportation Integrated Search

    1984-04-01

    This report discusses techniques applicable to the estimation of transit vehicle fleet requirements, vehicle-hours and vehicle-miles, and other related transit supply parameters. These parameters are used for estimating operating costs and certain ca...

  19. Views of Young People With Chronic Conditions on Transition From Pediatric to Adult Health Services

    PubMed Central

    Hislop, Jenni; Mason, Helen; Parr, Jeremy R.; Vale, Luke; Colver, Allan

    2017-01-01

    Purpose This study sought to identify and describe the views of young people with chronic conditions about the transition from pediatric to adult services. Methods Q methodology was used to identify young people’s views on transition. A set of 39 statements about transition was developed from an existing literature review and refined in consultation with local groups of young people. Statements were printed onto cards and a purposive sample of 44 young people with chronic health conditions was recruited, 41 remaining in the study. The young people were asked to sort the statement cards onto a Q-sort grid, according to their opinions from “strongly disagree” to “strongly agree.” Factor analysis was used to identify shared points of view (patterns of similarity between individual’s Q-sorts). Results Four distinct views on transition were identified from young people: (1) “a laid-back view of transition;” (2) “anxiety about transition;” (3) “wanting independence and autonomy during transition;” and (4) “valuing social interaction with family, peers, and professionals to assist transition.” Conclusions Successful transition is likely to be influenced by how young people view the process. Discussing and understanding young people’s views and preferences about transition should help clinicians and young people develop personalized planning for transition as a whole, and more specifically the point of transfer, leading to effective and efficient engagement with adult care. PMID:27287962

  20. Views of Young People With Chronic Conditions on Transition From Pediatric to Adult Health Services.

    PubMed

    Hislop, Jenni; Mason, Helen; Parr, Jeremy R; Vale, Luke; Colver, Allan

    2016-09-01

    This study sought to identify and describe the views of young people with chronic conditions about the transition from pediatric to adult services. Q methodology was used to identify young people's views on transition. A set of 39 statements about transition was developed from an existing literature review and refined in consultation with local groups of young people. Statements were printed onto cards and a purposive sample of 44 young people with chronic health conditions was recruited, 41 remaining in the study. The young people were asked to sort the statement cards onto a Q-sort grid, according to their opinions from "strongly disagree" to "strongly agree." Factor analysis was used to identify shared points of view (patterns of similarity between individual's Q-sorts). Four distinct views on transition were identified from young people: (1) "a laid-back view of transition;" (2) "anxiety about transition;" (3) "wanting independence and autonomy during transition;" and (4) "valuing social interaction with family, peers, and professionals to assist transition." Successful transition is likely to be influenced by how young people view the process. Discussing and understanding young people's views and preferences about transition should help clinicians and young people develop personalized planning for transition as a whole, and more specifically the point of transfer, leading to effective and efficient engagement with adult care. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  1. Commerce Lab - A program of commercial flight opportunities

    NASA Technical Reports Server (NTRS)

    Robertson, J.; Atkins, H. L.; Williams, J. R.

    1985-01-01

    Commerce Lab is conceived as an adjunct to the National Space Transportation System (NSTS) by providing a focal point for commercial missions which could utilize existing NSTS carrier and resource capabilities for on-orbit experimentation in the microgravity sciences. In this context, the Commerce Lab program provides mission planning for private sector involvement in the space program, in general, and the commercial exploitation of the microgravity environment for materials processing research and development. It is expected that Commerce Lab will provide a logical transition between currently planned NSTS missions and future microgravity science and commercial R&D missions centered around the Space Station. The present study identifies candidate Commerce Lab flight experiments and their development status and projects a mission traffic model that can be used in commercial mission planning.

  2. The U.S. Federal Radionavigation Plan

    NASA Astrophysics Data System (ADS)

    Shirer, Heywood O.

    The author presents an overview of the 1990 Federal Radionavigation Plan (FRP) policy and a discussion of the status of GPS (Global Positioning System), Loran-C, Omega, VOR/DME (VHF omnidirectional range/distance measuring equipment), VORTAC, TACAN, MLS (Microwave Landing System), ILS (instrument landing systems), Transit, and radiobeacons. The 1990 FRP contains significant changes regarding several of the radionavigation systems. It is concluded that it is difficult at best to ascertain the post-GPS final systems mix of federally provided radionavigation systems. The phase-out dates of other systems in favor of GPS still remain soft. Many uncertainties remain until the capabilities of GPS are verified for all classes of users. The federal radionavigation planning process accommodates such uncertainties, keeping pace with the constantly changing radionavigation user profile and rapid advancements in system technology.

  3. Transition-Marking Behaviors of Adolescent Males at First Intercourse.

    ERIC Educational Resources Information Center

    McLean, Ann L.; Flanigan, Beverly J.

    1993-01-01

    Examined male transition-marking behaviors from adolescence into adulthood at first intercourse. Findings from 80 adolescent males revealed that alcohol use at first intercourse was unrelated to use of contraceptives at that time but was inversely related to whether first intercourse was planned. Planning was positively related to contraceptive…

  4. Planning the Transition to End-of-Life Care in Advanced Cancer (PDQ®)—Health Professional Version

    Cancer.gov

    Planning the transition to end-of-life care in advanced cancer involves making decisions that can be challenging and emotionally distressing. Get information about likely topics and strategies to improve patient-oncologist communication and decision making in this clinician summary.

  5. Planning Guide for Implementing a Quality Youth Apprenticeship Program in Georgia.

    ERIC Educational Resources Information Center

    Smith, Clifton L.

    This planning guide begins with an overview of school-to-work transition. Section 1 also provides an overview of federal and Georgia state legislation and describes current school-to-work transition efforts, such as tech prep education, youth apprenticeship, cooperative education, entrepreneurial ventures and school-based enterprises,…

  6. 41 CFR 101-4.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Educational institutions eligible to submit transition plans. 101-4.225 Section 101-4.225 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 4...

  7. Poland's Transition in Business Education

    ERIC Educational Resources Information Center

    Leven, Bozena

    2010-01-01

    Prior to Poland's transition from central planning to a market system, which began in 1990, schools of business were non-existent in that country. Instead, university level instruction on economics during the socialist period was closely tied to ideological priorities, and limited to imparting skills suitable for planned economy. All universities…

  8. 41 CFR 101-4.225 - Educational institutions eligible to submit transition plans.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true Educational institutions eligible to submit transition plans. 101-4.225 Section 101-4.225 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 4...

  9. The Transition from VMS to Unix Operations for STScI's Science Planning and Scheduling Team

    NASA Astrophysics Data System (ADS)

    Adler, D. S.; Taylor, D. K.

    The Science Planning and Scheduling Team of the Space Telescope Science Institute currently uses the VMS operating system. SPST began a transition to Unix-based operations in the summer of 1999. The main tasks for SPST to address in the Unix transition are: (1) converting the current SPST operational tools from DCL to Python; (2) converting our database report scripts from SQL; (3) adopting a Unix-based code management system; and (4) training the SPST staff. The goal is to fully transition the team to Unix operations by the end of 2001.

  10. Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals.

    PubMed

    Rood, Brian A; Puckett, Julia A; Pantalone, David W; Bradford, Judith B

    2015-09-01

    Transgender individuals experience violence and discrimination, which, in addition to gender transitioning, are established correlates of psychological distress. In a statewide sample of 350 transgender adults, we investigated whether a history of violence and discrimination increased the odds of reporting lifetime suicidal ideation (SI) and whether differences in SI were predicted by gender transition status. Violence, discrimination, and transition status significantly predicted SI. Compared with individuals with no plans to transition, individuals with plans or who were living as their identified gender reported greater odds of lifetime SI. We discuss implications for SI disparities using Meyer's minority stress model.

  11. Mass transit : many management successes at WMATA, but capital planning could be enhanced

    DOT National Transportation Integrated Search

    2001-07-01

    In recent years, the Washington Metropolitan Area Transit Authority's (WMATA) public transit system has experienced problems related to the safety and reliability of its transit services, including equipment breakdowns, delays in scheduled service, u...

  12. MASS TRANSIT: FTA Could Relieve New Starts Program Funding Constraints

    DTIC Science & Technology

    2001-08-01

    progress through a local or regional review of alternatives, develop preliminary engineering plans , and obtain FTA’s approval for final design.7 TEA-21...and transit programs can also be used to develop, plan , and/or construct these projects. 7The alternatives analysis stage provides information on the...include right-of-way acquisition, utility relocation, and the preparation of final construction plans and cost estimates. Background Page 5 GAO-01-987 New

  13. FY97 Materials & Processes Technology Area Plan

    DTIC Science & Technology

    1996-09-01

    Offices ess has Center Technology Coun- ings, the first use ever of gamma (SPOs). In addition, we provide cil (CTCs) technology needs Titanium Aluminide ...300,000 in form- structive evaluation (NDE). Four Agreements (CRDAs) with 7 ing of Titanium Aluminide with Data EAchange Agreements more in negotiation and...Systems Aircraft Range with r 50% Decrease in Fuel Propulsion Syste s =Consumption Titanium Aluminides Cast Titanium 25000F Ceramic Matrix Transition

  14. Young People with High-Functioning Autism and Asperger's Syndrome Planning for and Anticipating the Move to College: What Supports a Positive Transition?

    ERIC Educational Resources Information Center

    Mitchell, Wendy; Beresford, Bryony

    2014-01-01

    For many young people in England, the move into continuing education involves a transfer from the school where they were educated to a further education college. For those with high-functioning autism or Asperger's syndrome, this can be a challenging process. Past research has demonstrated some of the problems that these young people can…

  15. Operational Design: The Importance of Getting the Fundamentals Right

    DTIC Science & Technology

    2010-04-01

    problems require only a simple form of Aristotelian mission analysis. They can be broken down into parts and treated accordingly. Davison 44...collection of subtly alternative but essentially derivative theories have promised to break through into mainstream doctrine. SOD itself has matured...desired system frame. This is the theory of action that informs the rest of the planning process. This transitional step is commander led, as it

  16. The interdependence of lake ice and climate in central North America

    NASA Technical Reports Server (NTRS)

    Jelacic, A. J. (Principal Investigator)

    1972-01-01

    There are no author-identified significant results in this report. This investigation is to identify any correlations between the freeze/ thaw cycles of lakes and regional weather variations. ERTS-1 imagery of central Canada and north central United States is examined on a seasonal basis. The ice conditions of certain major study lakes are noted and recorded on magnetic tape, from which the movement of a freeze/thaw transition zone may be deduced. Weather maps and tables are used to establish any obvious correlations. The process of selecting major study lakes is discussed, and a complete lake directory is presented. Various routines of the software support library are described, accompanied by output samples. Procedures used for ERTS imagery processing are presented along with the data analysis plan. Application of these procedures to selected ERTS imagery has demonstrated their utility. Preliminary results show that the freeze/thaw transition zone can be monitored from ERTS.

  17. A Sounding Rocket Experiment for the Chromospheric Lyman-Alpha Spectro-Polarimeter (CLASP)

    NASA Astrophysics Data System (ADS)

    Kubo, M.; Kano, R.; Kobayashi, K.; Bando, T.; Narukage, N.; Ishikawa, R.; Tsuneta, S.; Katsukawa, Y.; Ishikawa, S.; Suematsu, Y.; Hara, H.; Shimizu, T.; Sakao, T.; Ichimoto, K.; Goto, M.; Holloway, T.; Winebarger, A.; Cirtain, J.; De Pontieu, B.; Casini, R.; Auchère, F.; Trujillo Bueno, J.; Manso Sainz, R.; Belluzzi, L.; Asensio Ramos, A.; Štěpán, J.; Carlsson, M.

    2014-10-01

    A sounding-rocket experiment called the Chromospheric Lyman-Alpha Spectro-Polarimeter (CLASP) is presently under development to measure the linear polarization profiles in the hydrogen Lyman-alpha (Lyα) line at 121.567 nm. CLASP is a vacuum-UV (VUV) spectropolarimeter to aim for first detection of the linear polarizations caused by scattering processes and the Hanle effect in the Lyα line with high accuracy (0.1%). This is a fist step for exploration of magnetic fields in the upper chromosphere and transition region of the Sun. Accurate measurements of the linear polarization signals caused by scattering processes and the Hanle effect in strong UV lines like Lyα are essential to explore with future solar telescopes the strength and structures of the magnetic field in the upper chromosphere and transition region of the Sun. The CLASP proposal has been accepted by NASA in 2012, and the flight is planned in 2015.

  18. Vehicle counting system using real-time video processing

    NASA Astrophysics Data System (ADS)

    Crisóstomo-Romero, Pedro M.

    2006-02-01

    Transit studies are important for planning a road network with optimal vehicular flow. A vehicular count is essential. This article presents a vehicle counting system based on video processing. An advantage of such system is the greater detail than is possible to obtain, like shape, size and speed of vehicles. The system uses a video camera placed above the street to image transit in real-time. The video camera must be placed at least 6 meters above the street level to achieve proper acquisition quality. Fast image processing algorithms and small image dimensions are used to allow real-time processing. Digital filters, mathematical morphology, segmentation and other techniques allow identifying and counting all vehicles in the image sequences. The system was implemented under Linux in a 1.8 GHz Pentium 4 computer. A successful count was obtained with frame rates of 15 frames per second for images of size 240x180 pixels and 24 frames per second for images of size 180x120 pixels, thus being able to count vehicles whose speeds do not exceed 150 km/h.

  19. Rehabilitation and transition after lung transplantation in children.

    PubMed

    Burton, J H; Marshall, J M; Munro, P; Moule, W; Snell, G I; Westall, G P

    2009-01-01

    We describe the key components of an outpatient pediatric recovery and rehabilitation program set up within the adult lung transplant service at the Alfred Hospital, Melbourne. Following discharge, pediatric lung transplant recipients and their families participated in an intensive 3-month outpatient rehabilitation program. Weekly sessions included education regarding transplant issues, physiotherapy, and occupational therapy sessions. The overall aim of the program was to comprehensively address physical rehabilitation and psychosocial and educational needs. Sessions tailored to meet the individual needs of the child were presented at an appropriate cognitive level. Education sessions for both the children and parents focused on medications, identification of infection and rejection, nutrition, physiotherapy/rehabilitation, occupational roles and stress management, donor issues, psychosocial readjustment, and transition issues. Physiotherapy included a progressive aerobic and strength training program, postural reeducation, and core stability. We incorporate Age-appropriate play activities: running, dancing, jumping, ball skills, and so on. Occupational therapy sessions addressed the primary roles of patient, students, and player. Transitions such as returning to school, friends, and the community were explored. Issues discussed included adjustment to new health status, strategies to manage side effects of medications, and altered body image issues. Weekly multidisciplinary team meetings were used to discuss and plan the rehabilitation progress. School liaison and visits occurred prior to school commencement with follow-up offered to review the ongoing transition process. Both patients and parents have reported a high level of satisfaction with the rehabilitation program. We plan to formally evaluate the program in the future.

  20. Applications of connected vehicle infrastructure technologies to enhance transit service efficiency and safety.

    DOT National Transportation Integrated Search

    2016-09-30

    Many transit agencies provide real-time operational information and trip-planning tools through phone, Web, and smartphone applications. These services utilize a one-way information flow from transit agencies to transit users. Current smartphone tech...

  1. Agile Port System Transition Support Transition Plan Development

    DTIC Science & Technology

    2013-07-29

    Operational Needs addressed • Proposed Solutions • Current Status • Risk • A Business Case for transition • Appropriate Funding Sources • Transition...13  3.1.6  Risk  Table...18  3.2.6  Risk  Table

  2. Best practices in transit service planning : final report, March 2009.

    DOT National Transportation Integrated Search

    2009-03-01

    The provision of cost efficient and effective bus transit service is the basic premise upon which transit service is developed and the goal that all public transportations agencies strive to achieve. To attain this goal, public transit agencies must ...

  3. Transit Reliability Information Program : Reliability Verification Demonstration Plan for Rapid Rail Vehicles

    DOT National Transportation Integrated Search

    1981-08-01

    The Transit Reliability Information Program (TRIP) is a government-initiated program to assist the transit industry in satisfying its need for transit reliability information. TRIP provides this assistance through the operation of a national Data Ban...

  4. Understanding Transitions Toward Sustainable Urban Water Management: Miami, Las Vegas, Los Angeles

    NASA Astrophysics Data System (ADS)

    Garcia, M. E.; Manago, K. F.; Treuer, G.; Deslatte, A.; Koebele, E.; Ernst, K.

    2016-12-01

    Cities in the United States face numerous threats to their long-term water supplies including preserving ecosystems, competing uses, and climate change. Yet, it is unclear why only some cities have transitioned toward more sustainable water management. These transitions include strategies such as water conservation, water supply portfolio diversification, long-term planning, and integrated resource management. While the circumstances that motivate or moderate transition may vary greatly across cities' physical and institutional contexts, identifying common factors associated with transition can help resource managers capitalize on windows of opportunity for change. To begin the process of identifying such factors, we ask two questions: 1) what combinations of conditions are associated with water management transitions?, and 2) what are the outcomes of these transitions? We examine three cases of utility-level water management in Miami, Las Vegas, and Los Angeles to create data-driven narratives detailing each city's transition. These narratives systematically synthesize multiple data sources to enable cross-case comparison and provide insights into how and why cities transition. Using the foundational concepts from the exposure-based theory of urban change, we focus our analysis on three broad categories of variables that influence urban water management transition: biophysical, political, and regulatory exposures. First, we compare these factors across time and across cities using metrics that standardize diverse data sources. Next, we incorporate qualitative factors that capture a city's unique conditions by integrating these metrics with salient contextual information. Then, through cross-city comparison, we identify factors associated with transition.

  5. A methodology to modify land uses in a transit oriented development scenario.

    PubMed

    Sahu, Akshay

    2018-05-01

    Developing nations are adopting transit oriented development (TOD) strategies to decongest their transportation systems. These strategies are often adopted after the preparation of land use plans. The goal of this study was to build a methodology to modify these land uses using soft computing. This can help to achieve alternate land use plans relevant to TOD. The methodology incorporates TOD characteristics and objectives. Global TOD parameters (density, diversity, and distance to transit) were studied. Expert opinions gave weights and ranges for the parameters in an Indian TOD scenario. Rules to allocate land use was developed. Objective functions were defined. Four objectives were used. First was to maximize employment density, residential density and percent of mix land use. Second was to shape density and diversity with respect to distance. Third was to minimize degree of land use change, and fourth was to increase compactness of the land use allocation. The methodology was applied to two sectors of Naya Raipur, the new planned administrative capital of the state of Chhattisgarh, India. The city has implemented TOD in the form of Bus rapid transit system (BRTS) over an existing land use. Thousand random plans were generated through the methodology. Top 30 plans were selected as parent population for modifications through genetic algorithm (GA). Alternate plans were generated at the end of GA cycle. The best alternate plan was compared with successful BRTS and TOD land uses for its merits and demerits. It was also compared with the initial land use plan for empirical validation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Arizona state transportation plan

    DOT National Transportation Integrated Search

    1994-12-01

    The purpose of this report is to present the first Arizona multimodal State : Transportation Plan (STP). This Plan includes all surface modes of : transportation: highways, railways, public transit, bicycles, and : pedestrians. The Plan consideres li...

  7. Stakeholder Perspectives on Research and Practice in Autism and Transition.

    PubMed

    Kuo, Alice A; Crapnell, Tara; Lau, Lynette; Anderson, Kristy A; Shattuck, Paul

    2018-04-01

    Individuals with autism spectrum disorder (ASD) are reported to experience significant challenges during the transition to adulthood. Although recent evidence indicates that individuals with ASD experience poor outcomes in adulthood, little is understood about the contributing factors. In this qualitative study, we investigated the barriers to and needs in research and practice in the transition to adulthood among individuals with ASD. Thirteen researchers, including service providers, family members, and an individual with ASD participated in 30- to 60-minute, semistructured, open-ended telephone interviews. Interviews were transcribed, and data were analyzed by using an inductive approach to identify themes related to barriers to and needs in the transition to adulthood for youth with ASD. Stakeholders identified the need for transition planning and preparation to begin earlier and for systems to better accommodate the interests and varying abilities of individuals with ASD. Stakeholders also felt that parent and service provider expectations and perceptions influence early opportunities and experiences offered throughout the transition process. This study reveals the multilevel barriers to and needs in the transition to adulthood and the need for interagency and multidisciplinary collaboration and research to address the varying levels of needs, abilities, and multisector challenges. Copyright © 2018 by the American Academy of Pediatrics.

  8. Integrating the Department of Defense Military Services’ Technology Development Programs to Improve Time, Cost, and Technical Quality Parameters

    DTIC Science & Technology

    2007-03-01

    the DoD in general and across the SR, DD(X), and FCS programs in particular. The findings of this study show that through careful planning and...FCS programs in particular. The findings of this study show that through careful planning and coordinated technology transition, DoD acquisition...careful planning and coordinated technology transition, DoD acquisition programs can indeed leverage the technology development efforts of the three

  9. Chromospheric Lyman-Alpha SpectroPolarimeter (CLASP)

    NASA Technical Reports Server (NTRS)

    Kano, Ryohei; Bando, Takamasa; Narukage, Noriyuki; Ishikawa, Ryoko; Kubo, Masahito; Katsukawa, Yukio; Ishikawa, Shin-­nosuke; Hara, Hirohisa; Suematsu, Yoshinori; Giono, Gabriel; hide

    2015-01-01

    Chromosphere, the transition layer of the sun is a region to switch to the magnetic pressure dominated from plasma pressure dominated, simultaneous observation of the detailed magnetic field measurement and plasma of dynamic phenomenon here is what is the frontier of the next solar physics. As This is a challenge that has just mentioned, even the next solar observation satellite plan SOLAR-C, in the experiments we had used a NASA sounding rocket for the first time in the SOLAR-C plan, will address the chromosphere-transition layer magnetic field measurement there. It is, is a Chromospheric Lyman-Alpha Spectro-Polarimeter (CLASP) plan, the linear polarization of Lyman ?? emission lines chromosphere-transition layer shoots (121.6nm) were detected in 0.1 percent of high accuracy, a new technique called Hanre effect I get the magnetic field information of chromosphere-transition layer. In Japan, the US and Europe joint observation in November 2012 as a rocket experiment is adopted to NASA this plan that full-scale start-up, start from assembly work is 2014 spring flight observation device, currently, it is where the alignment of the optical elements have been implemented. After this, it is planned to continue with the performance evaluation towards the observation implementation of summer 2015. In addition to once again explain the contents of the plan In this presentation, we report an overview of the entire development and preparation current status.

  10. A Study to Develop a Timeline for Sequencing the Major Transitional Tasks in the Fort Sill Hospital Transition Plan

    DTIC Science & Technology

    1988-07-01

    efforts. 7. Ensure that transition planning materials and manuals are prepared. 8. Ensure proper orientation of staff. 9. Ensure all involved parties...software package which will integrate with the project methodology: User’s manual that is "user friendly". Tutorial with sample data for learning the...program. Menus for direction and assistance. On-line help to avoid constant referral to the manual . Technical support available via telephone. Demo

  11. Toward Authentic IEPs and Transition Plans: Student, Parent, and Teacher Perspectives

    ERIC Educational Resources Information Center

    Cavendish, Wendy; Connor, David

    2018-01-01

    This mixed-methods study examined perspectives on factors that influence meaningful student and parent involvement in Individualized Education Program (IEP) transition planning. Survey data and open-ended qualitative interviews with urban high school students with a learning disability (LD; n = 16), their parents (n = 9), and their teachers (n =…

  12. An Introduction to the Transition to Work Simulator.

    ERIC Educational Resources Information Center

    Conroy, William G., Jr.

    The transition to work simulator (TWS) was developed as a policy tool for education and manpower planning. It was designed in anticipation of the Education Amendments of 1976 and the Youth Employment and Demonstration Projects Act of 1977 to facilitate comprehensive planning. TWS is a computerized simulation model of the stream of important…

  13. 7 CFR 15a.17 - Education institutions eligible to submit transition plans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Education institutions eligible to submit transition plans. 15a.17 Section 15a.17 Agriculture Office of the Secretary of Agriculture EDUCATION PROGRAMS OR ACTIVITIES RECEIVING OR BENEFITTING FROM FEDERAL FINANCIAL ASSISTANCE Coverage § 15a.17 Education...

  14. Ecological Approaches to Transition Planning for Students with Autism and Asperger's Syndrome

    ERIC Educational Resources Information Center

    Dente, Claire L.; Parkinson Coles, Kallie

    2012-01-01

    This article presents a compelling case for the increased role of social workers in work with individuals with autism and Asperger's syndrome in secondary school settings, specifically in transition planning for postsecondary educational pursuits. Social work education prepares social workers to address micro, mezzo, and macro levels of practice…

  15. Improving Collaborative School-Agency Transition Planning: A Statewide DBMS Approach.

    ERIC Educational Resources Information Center

    Peterson, Randolph L.; Roessler, Richard T.

    1997-01-01

    Describes the development and components of a referral database management system developed by the Arkansas Transition Project. The system enables individualized-education-plan team members to refer students with disabilities directly to adult agencies and to receive a monitoring report describing the agency response to the referral. The system is…

  16. Parents' and Students' Perspectives of Transition Planning and Post-Secondary Outcomes

    ERIC Educational Resources Information Center

    Morgan, Valda R. Beasley

    2010-01-01

    One of many responsibilities for public schools concerning students with mental retardation is to assist students with the development of their individual transition plans. The purpose of this study was to evaluate if post-secondary outcomes identified for students with mental retardation while in public school were the actual outcomes in which…

  17. Functional Assessment Leading to a Behavior Plan for Transition Times at School.

    ERIC Educational Resources Information Center

    Dooley, Pamela; Wilczenski, Felicia L.; Torem, Christopher

    This paper outlines a case study based upon the functional assessment of a pre-school child's aggressive and disruptive behaviors, revealing difficulties with transitions from one activity to another at school. Antecedent conditions and functional communication were addressed in the behavior plan using a schedule board based on the Picture…

  18. Meeting the Needs of the Hidden Minority: Transition Planning Tips for LGBTQ Youth

    ERIC Educational Resources Information Center

    Dykes, Frank; Thomas, Suzanne

    2015-01-01

    Effective transition planning requires school personnel to ascertain the preferences and interests of the student and to focus on services including instruction, related services, employment, and postschool living arrangements necessary to support postschool outcomes. While great strides have been made in meeting the needs of students with…

  19. Exploring unintended environmental and social-equity consequences of transit oriented development : a research report from the National Center for Sustainable Transportation.

    DOT National Transportation Integrated Search

    2015-10-01

    Communities throughout the U.S. are pursuing land use and transportation plans that locate : high density, mixed-use development near high quality rail and bus transit service. The : objective of these plans is to meet important community goals, such...

  20. Evidence-Based Transition Planning Practices for Secondary Students with Disabilities: What Has Australia Signed Up For?

    ERIC Educational Resources Information Center

    O'Neill, Sue C.; Strnadová, Iva; Cumming, Therese M.

    2016-01-01

    There are no Commonwealth or state laws in Australia that require educational authorities to provide individualised transition plans (ITPs) to secondary students with disabilities. It is argued that, in lieu of legislation, Australia's signed commitment to international treaties and national policies obliges educational jurisdictions to provide…

  1. Psychiatrist Health Human Resource Planning - An Essential Component of a Hospital-Based Mental Healthcare System Transformation.

    PubMed

    Jarmain, Sarah

    2016-01-01

    The World Health Organization (WHO) defines health human resource planning as "the process of estimating the number of persons and the kinds of knowledge, skills, and attitudes they need to achieve predetermined health targets and ultimately health status objectives" (OHA 2015). Health human resource planning is a critical component of successful organizational and system transformation, and yet little has been written on how to do this for physicians at the local level. This paper will outline a framework for developing and managing key aspects of physician human resource planning related to both the quantity and quality of work within a hospital setting. Using the example of a complex multiphase hospital-based mental health transformation that involved both the reduction and divestment of beds and services, we will outline how we managed the physician human resource aspects to establish the number of psychiatrists needed and the desired attributes of those psychiatrists, and how we helped an existing workforce transition to meet the new expectations. The paper will describe a process for strategically aligning the selection and management of physicians to meet organizational vision and mandate.

  2. Virtual manufacturing in reality

    NASA Astrophysics Data System (ADS)

    Papstel, Jyri; Saks, Alo

    2000-10-01

    SMEs play an important role in manufacturing industry. But from time to time there is a shortage in resources to complete the particular order in time. Number of systems is introduced to produce digital information in order to support product and process development activities. Main problem is lack of opportunity for direct data transition within design system modules when needed temporary extension of design capacity (virtuality) or to implement integrated concurrent product development principles. The planning experience in the field is weakly used as well. The concept of virtual manufacturing is a supporting idea to solve this problem. At the same time a number of practical problems should be solved like information conformity, data transfer, unified technological concepts acceptation etc. In the present paper the proposed ways to solve the practical problems of virtual manufacturing are described. General objective is to introduce the knowledge-based CAPP system as missing module for Virtual Manufacturing in the selected product domain. Surface-centered planning concept based on STEP- based modeling principles, and knowledge-based process planning methodology will be used to gain the objectives. As a result the planning module supplied by design data with direct access, and supporting advising environment is expected. Mould producing SME would be as test basis.

  3. The transition of young adults with lifelong urological needs from pediatric to adult services: An international children's continence society position statement.

    PubMed

    Bower, Wendy F; Christie, Deborah; DeGennaro, Mario; Latthe, Pallavi; Raes, Ann; Romao, Rodrigo L P; Taghizadeh, Arash; Wood, Dan; Woodhouse, Christopher R J; Bauer, Stuart B

    2017-03-01

    Children with urinary tract disorders managed by teams, or individual pediatricians, urologists, nephrologists, gastroenterologists, neurologists, psychologists, and nurses at some point move from child-centered to adult-centered health systems. The actual physical change is referred to as the transfer whilst the process preceding this move constitutes transition of care. Our aims are twofold: to identify management and health-service problems related to children with congenital or acquired urological conditions who advance into adulthood and the clinical implications this has for long-term health and specialist care; and, to understand the issues facing both pediatric and adult-care clinicians and to develop a systems-approach model that meets the needs of young adults, their families and the clinicians working within adult services. Information was gleaned from presentations at an International Children's Continence Society meeting with collaboration from the International Continence Society, that discussed problems of transfer and transitioning such children. Several specialists attending this conference finalized this document identifying issues and highlighting ways to ease this transition and transfer of care for both patients and practitioners. The consensus was, urological patients with congenital or other lifelong care needs, are now entering adulthood in larger numbers than previously, necessitating new planning processes for tailored transfer of management. Adult teams must become familiar with new clinical problems in multiple organ systems and anticipate issues provoked by adolescence and physical growth. During this period of transitional care the clinician or team assists young patients to build attitudes, skills and understanding of processes needed to maximize function of their urinary tract-thus taking responsibility for their own healthcare needs. Preparation must also address, negotiating adult health care systems, psychosocial, educational or vocational issues, and mental wellbeing. Transitioning and transfer of children with major congenital anomalies to clinicians potentially unfamiliar with their conditions requires improved education both for receiving doctors and children's families. Early initiation of the transition process should allow the transference to take place at appropriate times based on the child's development, and environmental and financial factors. Neurourol. Urodynam. 36:811-819, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  4. Efficacy of a Transition Theory-Based Discharge Planning Program for Childhood Asthma Management.

    PubMed

    Ekim, Ayfer; Ocakci, Ayse Ferda

    2016-02-01

    This study tested the efficacy of a nurse-led discharge planning program for childhood asthma management, based on transition theory. A quasi-experimental design was used. The sample comprised 120 children with asthma and their parents (intervention group n = 60, control group n = 60). The asthma management self-efficacy perception level of parents in the intervention group increased significantly and the number of triggers their children were exposed to at home was reduced by 60.8%. The rates of admission to emergency departments and unscheduled outpatient visits were significantly lower in the intervention group compared with the control group. Transition theory-based nursing interventions can provide successful outcomes on childhood asthma management. Transition theory-based discharge planning program can guide nursing interventions to standardize care of the child with asthma. Combining care at home with hospital care strengthens ongoing qualified asthma management. © 2015 NANDA International, Inc.

  5. Characterizing a sustainability transition: Goals, targets, trends, and driving forces

    PubMed Central

    Parris, Thomas M.; Kates, Robert W.

    2003-01-01

    Sustainable development exhibits broad political appeal but has proven difficult to define in precise terms. Recent scholarship has focused on the nature of a sustainability transition, described by the National Research Council as meeting the needs of a stabilizing future world population while reducing hunger and poverty and maintaining the planet's life-support systems. We identify a small set of goals, quantitative targets, and associated indicators that further characterize a sustainability transition by drawing on the consensus embodied in internationally negotiated agreements and plans of action. To illustrate opportunities for accelerating progress, we then examine current scholarship on the processes that influence attainment of four such goals: reducing hunger, promoting literacy, stabilizing greenhouse-gas concentrations, and maintaining fresh-water availability. We find that such analysis can often reveal “levers of change,” forces that both control the rate of positive change and are subject to policy intervention. PMID:12819346

  6. An ecological approach to seeking and utilising the views of young people with intellectual disabilities in transition planning.

    PubMed

    Small, Neil; Raghavan, Raghu; Pawson, Nicole

    2013-12-01

    Transition planning using a person-centred approach has, in the main, failed to shape service provision. We offer an alternative based on an ecological understanding of human development linked to public health approaches that prioritise whole system planning. A total of 43 young people with intellectual disabilities, in Bradford, England, who were approaching transition from school or college were recruited to a qualitative study. Their ethnic breakdown was as follows: 16 white British, 24 Pakistani, 2 Bangladeshi and 1 Black African. Each young person was interviewed twice, at recruitment and a year later, to observe any changes in their social networks during transition. Interviews were undertaken with a semi-structured interview schedule and with the pictorial approach of Talking Mats. Both the networks the young people live within, and their sense of what the future might hold for them, are described and linked to Bronfenbrenner's ecological model of human development. The importance of the family and school is emphasised, as is the absence of engagement in leisure activities and work. Transition planning needs to start with mapping the systems individuals live within, areas of strength should be supported and parts of the system, which are not fit for purpose for these young people, should be prioritised for interventions.

  7. Dealing with large-scale supply lines when introducing new regimens.

    PubMed

    Malati, Christine; Rosenfeld, Joshua; Mowafy, Sherif; Rittmiller, Trevor; Kuritsky, Joel; Crowley, John

    2017-07-01

    As programs plan the introduction of a new antiretroviral as part of a regimen for HIV treatment, supply chain considerations need to be taken into account. The key to success is balancing the introduction of a new regimen with the phasing out of an old regimen in a manner that does not result in either a shortage or an excess supply of either product while ensuring that patients continue receiving their medications. This necessitates that country programs, donors, and procurement entities possess an appreciation of the global antiretroviral market and understand the dynamics that the manufacturing of new antiretrovirals will have on the transition. Supply, demand, and financial considerations affect the capacity of the supply chain to facilitate a successful antiretroviral transition. Although this commentary draws on United States Agency for International Development experiences under the President's Emergency Plan for AIDS Relief from earlier antiretroviral treatment shifts, the approaches are applicable to other institutions and to future transitions. Three approaches were employed: ensuring the engagement of all key stakeholders in transition planning and execution, including clinicians, advocacy groups, supply chain professionals, ministry, and donors; conducting and updating regularly the national quantification and supply plans for all regimens; and introducing antiretroviral products into programs from regional warehouses based on firm orders. Extensive planning and accounting for supply chain factors is essential to ensuring a smooth transition to a new regimen and to enable the global antiretroviral market to respond adequately.

  8. Embedding Agile Practices within a Plan-Driven Hierarchical Project Life Cycle

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Millard, W. David; Johnson, Daniel M.; Henderson, John M.

    2014-07-28

    Organizations use structured, plan-driven approaches to provide continuity, direction, and control to large, multi-year programs. Projects within these programs vary greatly in size, complexity, level of maturity, technical risk, and clarity of the development objectives. Organizations that perform exploratory research, evolutionary development, and other R&D activities can obtain the benefits of Agile practices without losing the benefits of their program’s overarching plan-driven structure. This paper describes application of Agile development methods on a large plan-driven sensor integration program. While the client employed plan-driven, requirements flow-down methodologies, tight project schedules and complex interfaces called for frequent end-to-end demonstrations to provide feedbackmore » during system development. The development process maintained the many benefits of plan-driven project execution with the rapid prototyping, integration, demonstration, and client feedback possible through Agile development methods. This paper also describes some of the tools and implementing mechanisms used to transition between and take advantage of each methodology, and presents lessons learned from the project management, system engineering, and developer’s perspectives.« less

  9. NSI directed to continue SPAN's functions

    NASA Technical Reports Server (NTRS)

    Rounds, Fred

    1991-01-01

    During a series of network management retreats in June and July 1990, representatives from NASA Headquarters Codes O and S agreed on networking roles and responsibilities for their respective organizations. The representatives decided that NASA Science Internet (NSI) will assume management of both the Space Physics Analysis Network (SPAN) and the NASA Science Network (NSN). SPAN is now known as the NSI/DECnet, and NSN is now known as the NSI/IP. Some management functions will be distributed between Ames Research Center (ARC) and Goddard Space Flight Center (GSFC). NSI at ARC has the lead role for requirements generation and networking engineering. Advanced Applications and the Network Information Center is being developed at GSFC. GSFC will lead the NSI User Services, but NSI at Ames will continue to provide the User Services during the transition. The transition will be made as transparent as possible for the users. DECnet service will continue, but is now directly managed by NSI at Ames. NSI will continue to work closely with routing center managers at other NASA centers, and has formed a transition team to address the change in management. An NSI/DECnet working group had also been formed as a separate engineering group within NSI to plan the transition to Phase 5, DECnet's approach to Open System Integration (OSI). Transition is not expected for a year or more due to delays in produce releases. Plans to upgrade speeds in tail circuits and the backbone are underway. The proposed baseline service for new connections is up to 56 Kbps; 9.6 Kbps lines will gradually be upgraded as requirements dictate. NSI is in the process of consolidating protocol traffic, tail circuits, and the backbone. Currently NSI's backbone is fractional T1; NSI will go to full T1 service as soon as it is feasible.

  10. Improving the Transition of Earth Satellite Observations from Research to Operations

    NASA Technical Reports Server (NTRS)

    Goodman, Steven J.; Lapenta, William M.; Jedlovec, Gary J.

    2004-01-01

    There are significant gaps between the observations, models, and decision support tools that make use of new data. These challenges include: 1) Decreasing the time to incorporate new satellite data into operational forecast assimilation systems, 2) Blending in-situ and satellite observing systems to produce the most accurate and comprehensive data products and assessments, 3) Accelerating the transition from research to applications through national test beds, field campaigns, and pilot demonstrations, and 4) Developing the partnerships and organizational structures to effectively transition new technology into operations. At the Short-term Prediction Research and Transition (SPORT) Center in Huntsville, Alabama, a NASA-NOAA-University collaboration has been developed to accelerate the infusion of NASA Earth science observations, data assimilation and modeling research into NWS forecast operations and decision-making. The SPoRT Center research focus is to improve forecasts through new observation capability and the regional prediction objectives of the US Weather Research Program dealing with 0-1 day forecast issues such as convective initiation and 24-hr quantitative precipitation forecasting. The near real-time availability of high-resolution experimental products of the atmosphere, land, and ocean from the Moderate Resolution Imaging Spectroradiometer (MODIS), the Advanced Infrared Spectroradiometer (AIRS), and lightning mapping systems provide an opportunity for science and algorithm risk reduction, and for application assessment prior to planned observations from the next generation of operational low Earth orbiting and geostationary Earth orbiting satellites. This paper describes the process for the transition of experimental products into forecast operations, current products undergoing assessment by forecasters, and plans for the future. The SPoRT Web page is at (http://www.ghcc.msfc.nasa.gov/sport).

  11. Strategic Transit Automation Research Plan

    DOT National Transportation Integrated Search

    2018-01-01

    Transit bus automation could deliver many potential benefits, but transit agencies need additional research and policy guidance to make informed deployment decisions. Although funding and policy constraints may play a role, there is also a reasonable...

  12. Measuring Land Change in Coastal Zone around a Rapidly Urbanized Bay.

    PubMed

    Huang, Faming; Huang, Boqiang; Huang, Jinliang; Li, Shenghui

    2018-05-23

    Urban development is a major cause for eco-degradation in many coastal regions. Understanding urbanization dynamics and underlying driving factors is crucial for urban planning and management. Land-use dynamic degree indices and intensity analysis were used to measure land changes occurred in 1990, 2002, 2009, and 2017 in the coastal zone around Quanzhou bay, which is a rapidly urbanized bay in Southeast China. The comprehensive land-use dynamic degree and interval level intensity analysis both revealed that land change was accelerating across the three time intervals in a three-kilometer-wide zone along the coastal line (zone A), while land change was fastest during the second time interval 2002⁻2009 in a separate terrestrial area within coastal zone (zone B). Driven by urbanization, built-up gains and cropland losses were active for all time intervals in both zones. Mudflat losses were active except in the first time interval in zone A due to the intensive sea reclamation. The gain of mangrove was active while the loss of mangrove is dormant for all three intervals in zone A. Transition level analysis further revealed the similarities and differences in processes within patterns of land changes for both zones. The transition from cropland to built-up was systematically targeted and stationary while the transition from woodland to built-up was systematically avoiding transition in both zones. Built-up tended to target aquaculture for the second and third time intervals in zone A but avoid Aquaculture for all intervals in zone B. Land change in zone A was more significant than that in zone B during the second and third time intervals at three-level intensity. The application of intensity analysis can enhance our understanding of the patterns and processes in land changes and suitable land development plans in the Quanzhou bay area. This type of investigation is useful to provide information for developing sound land use policy to achieve urban sustainability in similar coastal areas.

  13. Family carers' perspectives on post-school transition of young people with intellectual disabilities with special reference to ethnicity.

    PubMed

    Raghavan, R; Pawson, N; Small, N

    2013-10-01

    School leavers with intellectual disabilities (ID) often face difficulties in making a smooth transition from school to college, employment or more broadly to adult life. The transition phase is traumatic for the young person with ID and their families as it often results in the loss of friendships, relationships and social networks. The aim of this study was to explore the family carers' views and experiences on transition from school to college or to adult life with special reference to ethnicity. Forty-three families (consisting of 16 White British, 24 Pakistani, 2 Bangladeshi and one Black African) were interviewed twice using a semi-structured interview schedule. The carers were interviewed twice, Time 1 (T1) and Time 2 (T2), T2 being a year later to observe any changes during transition. The findings indicate that although transition planning occurred it was relatively later in the young person's school life. Parents were often confused about the process and had limited information about future options for their son or daughter. All family carers regardless of ethnicity, reported lack of information about services and expressed a sense of being excluded. South Asian families experienced more problems related to language, information about services, culture and religion. The majority of families lacked knowledge and awareness of formal services and the transition process. Socio-economic status, high levels of unemployment and caring for a child with a disability accounted for similar family experiences, regardless of ethnic background. The three key areas relevant for ethnicity are interdependence, religion and assumptions by service providers. © 2012 The Authors. Journal of Intellectual Disability Research © 2012 John Wiley & Sons Ltd, MENCAP & IASSID.

  14. Project IMPACT Pilot Report: Feasibility of Implementing a Hospital-to-Home Transition Bundle.

    PubMed

    Mallory, Leah A; Osorio, Snezana Nena; Prato, B Stephen; DiPace, Jennifer; Schmutter, Lisa; Soung, Paula; Rogers, Amanda; Woodall, William J; Burley, Kayla; Gage, Sandra; Cooperberg, David

    2017-03-01

    To improve hospital to home transitions, a 4-element pediatric patient-centered transition bundle was developed, including: a transition readiness checklist; predischarge teach-back education; timely and complete written handoff to the primary care provider; and a postdischarge phone call. The objective of this study was to demonstrate the feasibility of bundle implementation and report initial outcomes at 4 pilot sites. Outcome measures included postdischarge caregiver ability to teach-back key home management information and 30-day reuse rates. A multisite, observational time series using multiple planned sequential interventions to implement bundle components with non-technology-supported and technology-supported patients. Data were collected via electronic health record reviews and during postdischarge phone calls. Statistical process control charts were used to assess outcomes. Four pilot sites implemented the bundle between January 2014 and May 2015 for 2601 patients, of whom 1394 had postdischarge telephone encounters. Improvement was noted in the implementation of all bundle elements with the transitions readiness checklist posing the greatest feasibility challenge. Phone contact connection rates were 69%. Caregiver ability to teach-back essential home management information postdischarge improved from 18% to 82%. No improvement was noted in reuse rates, which differed dramatically between technology-supported and non-technology-supported patients. A pediatric care transition bundle was successfully tested and implemented, as demonstrated by improvement in all process measures, as well as caregiver home management skills. Important considerations for successful implementation and evaluation of the discharge bundle include the role of local context, electronic health record integration, and subgroup analysis for technology-supported patients. Copyright © 2017 by the American Academy of Pediatrics.

  15. From conventional drainage to sustainable stormwater management: Beyond the technical challenges.

    PubMed

    Goulden, Shula; Portman, Michelle E; Carmon, Naomi; Alon-Mozes, Tal

    2018-08-01

    Countries and cities are increasingly recognizing the value of adopting Sustainable Stormwater Management (SSWM) goals and measures. SSWM serves multiple hydrological, ecological, social and economic goals and can replace substantial parts of conventional drainage infrastructure. Following international experience in the socio-technical nature of transitions in stormwater management, this research investigates how socio-institutional factors enable the transition from conventional to sustainable stormwater management over time. The research is based on analysing available relevant documents, semi-structured interviews and focus groups, all in a single country case study (Israel). We found significant changes in professional awareness and discourse, some advances in professional standards of work and changes to the regulative system, supporting infiltration practices in particular. We concluded that the three-pillared socio-institutional framework, composed of cultural-cognitive, normative and regulative changes, was insightful for mapping factors supporting transition from conventional drainage to SSWM. Elements within the three pillars can work simultaneously and synergistically to achieve widespread change. At the same time, while SSWM always strives to achieve multiple goals, the order of priority of the various goals may differ from place to place and may change over time. Thus the transition process across the socio-institutional pillars should be renewed if and when the priority of goals changes. The urban and regional planning system can play a crucial role in enhancing the transition process from conventional to sustainable stormwater management. These conclusions may be relevant to other localities and countries that are struggling with such transitions to sustainability. Copyright © 2018 Elsevier Ltd. All rights reserved.

  16. The costs of transit fare prepayment programs : a parametric cost analysis.

    DOT National Transportation Integrated Search

    Despite the renewed interest in transit fare prepayment plans over the past : 10 years, few transit managers have a clear idea of how much it costs to operate : and maintain a fare prepayment program. This report provides transit managers : with the ...

  17. An Analysis of the Marine Corps Individual Ready Reserve Screening Process

    DTIC Science & Technology

    2015-03-01

    Identification of anticipated requirements among M&RA and HQMC’s Manpower Management division (MM) and Manpower Plans and Policy division (MP) for...Retain a militruy identification card • Attend musters when ordered • Maintain physical, height, and weight standards IRR MEMBER’S YEARS IN THE...their components.32 The identification of these specialties and required training might prove advantageous to the AC and RC.33 b. The Transition to

  18. Food and Drug Administration: Insufficient Planning for Field Laboratory Consolidation Decisions.

    DTIC Science & Technology

    1987-12-04

    adequately 5 address whether FDA could meet its current and future laboratory needs if the five laboratories were closed or whether cost- effective ...pie transit and laboratory processing times would lessen FDA’S regula- tory effectiveness . Moreover, 61 percent of the excess laboratory capacity...FDA believes that it can ship sam- pies from across the nation to almost any location for analysis without reducing its regulatory effectiveness . (See

  19. [Cognitive Functions in the Prefrontal Association Cortex; Transitive Inference and the Lateral Prefrontal Cortex].

    PubMed

    Tanaka, Shingo; Oguchi, Mineki; Sakagami, Masamichi

    2016-11-01

    To behave appropriately in a complex and uncertain world, the brain makes use of several distinct learning systems. One such system is called the "model-free process", via which conditioning allows the association between a stimulus or response and a given reward to be learned. Another system is called the "model-based process". Via this process, the state transition between a stimulus and a response is learned so that the brain is able to plan actions prior to their execution. Several studies have tried to relate the difference between model-based and model-free processes to the difference in functions of the lateral prefrontal cortex (LPFC) and the striatum. Here, we describe a series of studies that demonstrate the ability of LPFC neurons to categorize visual stimuli by their associated behavioral responses and to generate abstract information. If LPFC neurons utilize abstract code to associate a stimulus with a reward, they should be able to infer similar relationships between other stimuli of the same category and their rewards without direct experience of these stimulus-reward contingencies. We propose that this ability of LPFC neurons to utilize abstract information can contribute to the model-based learning process.

  20. Utilizing the "Plan, Do, Study, Act" Framework to Explore the Process of Curricular Assessment and Redesign in a Physical Therapy Education Program in Suriname.

    PubMed

    Audette, Jennifer Gail; Baldew, Se-Sergio; Chang, Tony C M S; de Vries, Jessica; Ho A Tham, Nancy; Janssen, Johanna; Vyt, Andre

    2017-01-01

    To describe how a multinational team worked together to transition a physical therapy (PT) educational program in Paramaribo, Suriname, from a Bachelor level to a Master of Science in Physical Therapy (MSPT) level. The team was made up of PT faculty from Anton De Kom Universiteit van Suriname (AdeKUS), the Flemish Interuniversity Council University Development Cooperation (VLIR-UOS) leadership, and Health Volunteers Overseas volunteers. In this case study, the process for curricular assessment, redesign, and upgrade is described retrospectively using a Plan, Do, Study, Act (PDSA) framework. PT educational programs in developing countries are eager for upgrade to meet international expectations and to better meet community health-care needs. An ongoing process which included baseline assessment of all aspects of the existing bachelor's program in PT, development of a plan for a MSPT, implementation of the master's program, and evaluation following implementation is described. Curricular assessment and upgrade in resource-limited countries requires the implementation of process-oriented methods. The PDSA process is a useful tool to explore curricular development. The international collaboration described in this paper provides an example of the diligence, consistency, and dedication required to see a project through and achieve success while providing adequate support to the host site. This project might provide valuable insights for those involved in curricular redesign in similar settings.

  1. Analysis of sheltering and evacuation strategies for a Chicago nuclear detonation scenario.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yoshimura, Ann S.; Brandt, Larry D.

    2011-09-01

    Development of an effective strategy for shelter and evacuation is among the most important planning tasks in preparation for response to a low yield, nuclear detonation in an urban area. Extensive studies have been performed and guidance published that highlight the key principles for saving lives following such an event. However, region-specific data are important in the planning process as well. This study examines some of the unique regional factors that impact planning for a 10 kt detonation in Chicago. The work utilizes a single scenario to examine regional impacts as well as the shelter-evacuate decision alternatives at selected exemplarymore » points. For many Chicago neighborhoods, the excellent assessed shelter quality available make shelter-in-place or selective transit to a nearby shelter a compelling post-detonation strategy.« less

  2. Transition Planning for Students with Disabilities: What Educators and Service Providers Can Do

    ERIC Educational Resources Information Center

    Bakken, Jeffrey P.; Obiakor, Festus E.

    2008-01-01

    The need for transition services for students with exceptionalities is apparent and critical for their success after high school. It is essential for school professionals, parents, and students to work collaboratively and consultively to determine each student's future goals and develop an effective plan to meet those goals successively. This book…

  3. Involvement in Transition Planning Meetings among High School Students with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Griffin, Megan M.; Taylor, Julie Lounds; Urbano, Richard C.; Hodapp, Robert M.

    2014-01-01

    Although students with autism spectrum disorders (ASD) are least likely to attend and participate in transition planning meetings, little is known about factors related to their involvement. Using a national data set, we conducted regressions to identify predictors of the involvement of 320 youth with ASD. Attendance positively related to higher…

  4. Community-Based Instruction (CBI) as a Component of a Successful Transition Plan for Students with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Dubberly, Russell

    2012-01-01

    This research study used a student-focused questionnaire to gain understanding about high school students with intellectual disabilities who participate in community-based instruction (CBI) as a component of their transition planning. The participating students have intellectual disabilities, range in age from 16 years old to 22 years old, and…

  5. Planning a new library in an age of transition: the Washington University School of Medicine Library and Biomedical Communications Center.

    PubMed Central

    Crawford, S; Halbrook, B

    1990-01-01

    In an era of great technological and socioeconomic changes, the Washington University School of Medicine conceptualized and built its first Library and Biomedical Communications Center in seventy-eight years. The planning process, evolution of the electronic library, and translation of functions into operating spaces are discussed. Since 1983, when the project was approved, a whole range of information technologies and services have emerged. The authors consider the kind of library that would operate in a setting where people can do their own searches, order data and materials through an electronic network, analyze and manage information, and use software to create their own publications. Images PMID:2393757

  6. No Wasted Moments: Planning Purposeful Transitions

    ERIC Educational Resources Information Center

    Nicolucci, Sandra

    2010-01-01

    This article focuses on the nature of the "transitional minutes" in "any" music class. When transitional minutes before, during, and after rehearsals and classes are unplanned and left to chance, much viable and valuable teaching time is lost. When transitional minutes are well structured, learning can proceed efficiently. One…

  7. Watershed Restoration Project

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Julie Thompson; Betsy Macfarlan

    2007-09-27

    In 2003, the U.S. Department of Energy issued the Eastern Nevada Landscape Coalition (ENLC) funding to implement ecological restoration in Gleason Creek and Smith Valley Watersheds. This project was made possible by congressionally directed funding that was provided through the US Department of Energy, Energy Efficiency and Renewable Energy, Office of the Biomass Program. The Ely District Bureau of Land Management (Ely BLM) manages these watersheds and considers them priority areas within the Ely BLM district. These three entities collaborated to address the issues and concerns of Gleason Creek and Smith Valley and prepared a restoration plan to improve themore » watersheds’ ecological health and resiliency. The restoration process began with watershed-scale vegetation assessments and state and transition models to focus on restoration sites. Design and implementation of restoration treatments ensued and were completed in January 2007. This report describes the restoration process ENLC undertook from planning to implementation of two watersheds in semi-arid Eastern Nevada.« less

  8. Influence of Disability and Gender on Transition Assessment and Goal Generator (TAGG) Scores

    ERIC Educational Resources Information Center

    El-Kazimi, Nidal

    2012-01-01

    Legislators mandated transition education for students with disabilities to improve their post-school outcomes. Each student with an IEP should have an annual transition plan at or before his or her 16th birthday. IDEA mandated the utilization of age appropriate transition assessment to develop students' post-secondary transition goals based on…

  9. Framework for Sustainability Performance Assessment for Manufacturing Processes- A Review

    NASA Astrophysics Data System (ADS)

    Singh, K.; Sultan, I.

    2017-07-01

    Manufacturing industries are facing tough competition due to increasing raw material cost and depleting natural resources. There is great pressure on the industry to produce environmental friendly products using environmental friendly processes. To address these issues modern manufacturing industries are focusing on sustainable manufacturing. To develop more sustainable societies, industries need to better understand how to respond to environmental, economic and social challenges. This paper proposed some framework and tools that accelerate the transition towards a sustainable system. The developed framework will be beneficial for sustainability assessment comparing different plans alongside material properties, ultimately helping the manufacturing industries to reduce the carbon emissions and material waste, besides improving energy efficiency. It is expected that this would be highly beneficial for determination of environmental impact of a process at early design stages. Therefore, it would greatly help the manufacturing industries for selection of process plan based on sustainable indices. Overall objective of this paper would have good impact on reducing air emissions and protecting environment. We expect this work to contribute to the development of a standard reference methodology to help further sustainability in the manufacturing sector.

  10. San Diego transit five year plan update : FY 1982-1986

    DOT National Transportation Integrated Search

    1981-07-01

    The Five Year Plan Update constitutes the annual revision to the operating plan and capital program for the following five year planning period, presents its adopted budget and a specific operating plan and capital program for FY 1982 as well as less...

  11. Geology of Libya Montes and the Interbasin Plains of Northern Tyrrhena Terra, Mars: First Year Results and Second Year Work Plan

    NASA Technical Reports Server (NTRS)

    Skinner, J. A., Jr.; Rogers, A. D.; Seelos, K. D.

    2010-01-01

    The Libya Montes-Tyrrhena Terra highland-lowland transitional zone of Mars is a complex tectonic and erosional region that contains some of the oldest exposed materials on the Martian surface as well as aqueous mineral signatures that may be potential chemical artifacts of early highland formational processes. Our 1:1M scale mapping project includes the geologic materials and landforms contained within MTMs 00282, -05282, -10282, 00277, - 05277, and -10277, which cover the highland portion of the transitional zone. The map region extends from the Libya Montes southward into Tyrrhena Terra and to the northern rim of Hellas basin and includes volcanic rocks of Syrtis Major Planum and a broad lowlying plain (palus) that forms a topographic divide between Isidis and Hellas basins. The objective of this project is to describe the geologic history of regional massif and plains materials by combining geomorphological and compositional mapping observations. This abstract summarizes the technical approaches and interim scientific results of Year 1 efforts and the expected work plan for Year 2 efforts.

  12. Transicion de la Escuela a la Vida Adulta Manual de Informacion para la Provision de Servicios de Transicion a los Jovenes con Impedimentos (Transition from School to Adult Life. Manual of Information for the Provision of Transitional Services for Youth with Disabilities).

    ERIC Educational Resources Information Center

    Puerto Rico State Dept. of Education, Hato Rey. Office of Special Education.

    This manual has been prepared to orient school personnel in the development of programs for the transition of students with disabilities from school to adult life so that they can fulfill their responsibilities in planning and providing services. The laws under which such services are required are reviewed, and the services and planning are…

  13. Clinical Transition Framework: Integrating Coaching Plans, Sampling, and Accountability in Clinical Practice Development.

    PubMed

    Boyer, Susan A; Mann-Salinas, Elizabeth A; Valdez-Delgado, Krystal K

    The clinical transition framework (CTF) is a competency-based practice development system used by nursing professional development practitioners to support nurses' initial orientation or transition to a new specialty. The CTF is applicable for both new graduate and proficient nurses. The current framework and tools evolved from 18 years of performance improvement and research projects engaged in both acute and community care environments in urban and rural settings. This article shares core CTF concepts, a description of coaching plans, and a professional accountability statement as experienced within the framework.

  14. Attempting to detect and record brushland in the northeastern United States using MSS data - Schoharie County, N.Y., as a case study

    NASA Technical Reports Server (NTRS)

    Baumann, Paul R.

    1990-01-01

    Before county and local governments will utilize satellite data extensively for landcover inventories, digital image processing techniques must be developed to identify transitional land-use conditions and create large-scale, readable land-cover maps. This study examines a satellite-based land-cover inventory done for Schoharie County, New York and reviews the problems encountered in identifying and mapping brushland - a significant transitional land use - within the county and region. Brushland throughout the Northeast represents a barometer for measuring the shift away from agricultural land use to second-home property. Detecting and locating brushland on a regular basis can greatly assist county and local government officials in planning and managing a county's future.

  15. Systems Analysis of Rapid Transit Underground Construction : Volume 1. Sections 1-5.

    DOT National Transportation Integrated Search

    1974-12-01

    This study describes rapid transit system implementation, design, and construction procedures. The relationships and responsibilities of governmental, private, and public groups involved in planning and implementing an urban rapid transit system are ...

  16. Answering Aggregation Questions in Contingency Valuation of Rural Transit Benefits

    DOT National Transportation Integrated Search

    2001-08-01

    While the qualitative benefits of transit are relatively well known, quantifying the benefits of transit is still a developing methodology. Quantifying benefits offers improved operational management and planning as well as better information for pol...

  17. Potential Greenhouse Gas Emissions Reductions from Optimizing Urban Transit Networks

    DOT National Transportation Integrated Search

    2016-05-01

    Public transit systems with efficient designs and operating plans can reduce greenhouse gas (GHG) emissions relative to low-occupancy transportation modes, but many current transit systems have not been designed to reduce environmental impacts. This ...

  18. Changes in transit use and service and associated changes in driving near a new light rail transit line.

    DOT National Transportation Integrated Search

    2015-05-01

    Los Angeles is pursuing possibly the most ambitious rail transit investment program in the nation with plans to open six new : rail transit lines between now and 2019. The report provides policy makes and planners a better understanding of the potent...

  19. Transition Communities and the Glass Ceiling of Environmental Sustainability Policies at Three Universities

    ERIC Educational Resources Information Center

    Pardellas Santiago, Miguel; Meira Cartea, Pablo; Iglesias da Cunha, Lucía

    2017-01-01

    Purpose: This paper deals with the experiences of three European universities that have implemented transition initiatives, using the Transition Network's methodology to promote their sustainability plans. The Transition Communities' model for change is presented from a socio-educational perspective as an effective methodology for encouraging…

  20. Supporting Classroom Transitions between Daily Routines: Strategies and Tips

    ERIC Educational Resources Information Center

    Banerjee, Rashida; Horn, Eva

    2013-01-01

    The purpose of this article is to provide tools for preschool professionals to plan for transitions between daily routines, to identify challenging transitions during the day, and to offer strategies to support transitions in classrooms to prevent challenging behaviors from occurring due to frequent changes. Specifically, the authors answer three…

  1. 45 CFR 152.45 - Transition to the exchanges.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Transition to the exchanges. 152.45 Section 152.45...-EXISTING CONDITION INSURANCE PLAN PROGRAM Transition to Exchanges § 152.45 Transition to the exchanges... the Exchanges, established under sections 1311 or 1321 of the Affordable Care Act, to ensure that...

  2. Analysis of Florida Department of Transportation transit corridor program/projects : technical memorandum number one - review and summary of transit corridor plans

    DOT National Transportation Integrated Search

    2001-05-01

    The purpose of this project was to undertake a consolidated comprehensive review of the Florida Department of Transportation Transit Corridor Program. Technical Memorandum Number One provides a summary of all transit corridor projects either under wa...

  3. Transition Time: Make It a Learning Time.

    ERIC Educational Resources Information Center

    Baker, Betty Ruth

    Teacher selection and planning of appropriate transition activities for preschool age children is discussed in this paper. Teachers are encouraged to use transition time to provide an opportunity for imaginative and creative thinking and to avoid tedious waiting and chaos. Transition activities can be used as a teaching technique to prepare…

  4. Hydrogen and Fuel Cell Transit Bus Evaluations : Joint Evaluation Plan for the U.S. Department of Energy and the Federal Transit Administration

    DOT National Transportation Integrated Search

    2008-05-01

    This document describes the hydrogen transit bus evaluations performed by the National Renewable Energy Laboratory (NREL) and funded by the U.S. Department of Energy (DOE) and the U.S. Department of Transportations Federal Transit Administration (...

  5. Streets for Pedestrians and Transit : An Evaluation of Three Transit Malls in the United States

    DOT National Transportation Integrated Search

    1979-02-01

    The report represents the second phase of a two-phase project designed to acquaint the planning community with the concept of transit malls and to provide information about three of the most important and interesting transit mall projects to a wider ...

  6. Metrication report to the Congress. 1991 activities and 1992 plans

    NASA Technical Reports Server (NTRS)

    1991-01-01

    During 1991, NASA approved a revised metric use policy and developed a NASA Metric Transition Plan. This Plan targets the end of 1995 for completion of NASA's metric initiatives. This Plan also identifies future programs that NASA anticipates will use the metric system of measurement. Field installations began metric transition studies in 1991 and will complete them in 1992. Half of NASA's Space Shuttle payloads for 1991, and almost all such payloads for 1992, have some metric-based elements. In 1992, NASA will begin assessing requirements for space-quality piece parts fabricated to U.S. metric standards, leading to development and qualification of high priority parts.

  7. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Berry, Sean L., E-mail: BerryS@MSKCC.org; Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York; Polvorosa, Cynthia

    Purpose: To prospectively evaluate a 2-dimensional transit dosimetry algorithm's performance on a patient population and to analyze the issues that would arise in a widespread clinical adoption of transit electronic portal imaging device (EPID) dosimetry. Methods and Materials: Eleven patients were enrolled on the protocol; 9 completed and were analyzed. Pretreatment intensity modulated radiation therapy (IMRT) patient-specific quality assurance was performed using a stringent local 3%, 3-mm γ criterion to verify that the planned fluence had been appropriately transferred to and delivered by the linear accelerator. Transit dosimetric EPID images were then acquired during treatment and compared offline with predictedmore » transit images using a global 5%, 3-mm γ criterion. Results: There were 288 transit images analyzed. The overall γ pass rate was 89.1% ± 9.8% (average ± 1 SD). For the subset of images for which the linear accelerator couch did not interfere with the measurement, the γ pass rate was 95.7% ± 2.4%. A case study is presented in which the transit dosimetry algorithm was able to identify that a lung patient's bilateral pleural effusion had resolved in the time between the planning CT scan and the treatment. Conclusions: The EPID transit dosimetry algorithm under consideration, previously described and verified in a phantom study, is feasible for use in treatment delivery verification for real patients. Two-dimensional EPID transit dosimetry can play an important role in indicating when a treatment delivery is inconsistent with the original plan.« less

  8. Transition from paediatric surgery: how many patients do we need to plan for?

    PubMed

    Jones, A R; John, M; Singh, S J; Williams, A R

    2016-11-01

    INTRODUCTION Transitional care is an NHS priority with newly published NICE guidance. Many paediatric surgical patients need quality care to continue into adulthood. We undertook an evaluation of our departmental activity to assess the magnitude of this issue. METHODS We identified all outpatients ≥ 15 years (potentially requiring imminent transition) seen over a 12 month period for all five general paediatric surgery consultants in our tertiary centre. Those patients requiring transition were highlighted and the appropriate adult team for referral recorded. RESULTS There were 2989 general paediatric surgery clinic appointments within the year; 289 (9.7%) were for young people aged 15 years or older; 62 patients (28% of those ≥ 15years) were deemed to require transition into adult care. Significantly more patients having colorectal surgery required follow-up (P = 0.0009 Chi-square test) compared with patients in other subspecialties. CONCLUSIONS More patients than expected required transition. This may be the case in other units. Current best practice includes time intensive preclinic planning, careful preparation of patient and family, followed by joint clinics. A joint clinic appointment takes 30 minutes, allowing for comprehensive handover and forging new relationships. In our department, we need at least ten transition clinics across 2 years. Coalition with adult colleagues is vital. These data enable us to plan services to provide quality care for our adolescent patients and highlights colorectal surgery as a priority.

  9. Use of state-and-transition simulation modeling in National Forest planning in the Pacific Northwest, U.S.A

    Treesearch

    Ayn J. Shlisky; Don Vandendriesche

    2012-01-01

    Effective national forest planning depends on scientifically sound analyses of land management alternatives relative to desired future conditions and environmental effects. The USDA Forest Service Pacific Northwest Region is currently using state-and-transition simulation models (STMs) to simulate changes in forest composition and structure for the revisions of five...

  10. From Plan to Market: Teaching Ideas for Social Studies, Economics, and Business Classes.

    ERIC Educational Resources Information Center

    Schug, Mark C.; Lopus, Jane S.; Morton, John S.

    This packet of lessons focuses on the transition from a legacy of central planning to a market orientation in the economic systems of Central and Eastern Europe, the newly independent states of the former Soviet Union, and China. These lessons seek to provide high school teachers with a well-informed approach to teaching about this transition. The…

  11. Topic Areas to Consider when Planning Transition from High School to Postsecondary Education for Students with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Roberts, Kelly D.

    2010-01-01

    For many individuals with an autism spectrum disorder (ASD), attending and completing postsecondary education is a viable option. However, success in postsecondary education for these individuals may require more planning and ongoing support than students without an ASD. This article provides educators and transition support personnel with a range…

  12. Adolescents with Hearing Loss and the International Classification of Functioning, Health, and Disability: Children & Youth Version

    PubMed Central

    English, Kris; Pajevic, Emily

    2016-01-01

    In 2007, the World Health Organization published a set of International Classification of Functioning, Disability and Health (ICF) codes designed for children and youth (ICF-CY version). The ICF-CY considers typical developmental changes associated with childhood while describing health status and the effects of intervention. In this article we will describe how a specific intervention (transition planning for adolescents) can be documented with the ICF-CY. Transition planning in health care prepares adolescents and their families for the transfer from pediatric to adult health services and has been demonstrated to be an effective practice for adolescents with many types of chronic health conditions (e.g., cystic fibrosis, epilepsy, diabetes). Audiology has not yet addressed transition planning for adolescents with hearing loss; therefore, we propose using the ICF-CY to design a pathway of care. The ICF-CY can standardize transition planning to the benefit of both teen patients and audiologists: teens and their families would gradually acquire necessary knowledge and skills, and audiologists would develop a meaningful data set to help further inform our pediatric practices, as well as give more structure, depth, and accountability to our role in rehabilitation. PMID:27489402

  13. Mass transit : project management oversight benefits and future funding requirements

    DOT National Transportation Integrated Search

    2000-09-01

    To meet the nation's transportation needs, many states, cities, and localities are building or planning mass transit projects to replace aging infrastructure or add new capacity. These transit projects are very costly and require large investments of...

  14. A desire named streetcar : fantasy and fact in rail transit planning

    DOT National Transportation Integrated Search

    1992-06-30

    The forecasts that led local officials in eight U.S. cities to advocate rail transit projects over competing, less capital-intensive options grossly overestimated rail transit ridership and underestimated rail construction costs and operating expense...

  15. Colloidal Material Box: In-situ Observations of Colloidal Self-Assembly and Liquid Crystal Phase Transitions in Microgravity

    NASA Astrophysics Data System (ADS)

    Li, WeiBin; Lan, Ding; Sun, ZhiBin; Geng, BaoMing; Wang, XiaoQing; Tian, WeiQian; Zhai, GuangJie; Wang, YuRen

    2016-05-01

    To study the self-assembly behavior of colloidal spheres in the solid/liquid interface and elucidate the mechanism of liquid crystal phase transition under microgravity, a Colloidal Material Box (CMB) was designed which consists of three modules: (i) colloidal evaporation experimental module, made up of a sample management unit, an injection management unit and an optical observation unit; (ii) liquid crystal phase transition experimental module, including a sample management unit and an optical observation unit; (iii) electronic control module. The following two experimental plans will be performed inside the CMB aboard the SJ-10 satellite in space. (i) Self-assembly of colloidal spheres (with and without Au shell) induced by droplet evaporation, allowing observation of the dynamic process of the colloidal spheres within the droplet and the change of the droplet outer profile during evaporation; (ii) Phase behavior of Mg2Al LDHs suspensions in microgravity. The experimental results will be the first experimental observations of depositing ordered colloidal crystals and their self-assembly behavior under microgravity, and will illustrate the influence of gravity on liquid crystal phase transition.

  16. Modelling with stakeholders - Next generation

    USGS Publications Warehouse

    Voinov, Alexey; Kolagani, Nagesh; McCall, Michael K; Glynn, Pierre D.; Kragt, Marit E; Ostermann, Frank O; Pierce, Suzanne A; Ramu, Palaniappan

    2016-01-01

    This paper updates and builds on ‘Modelling with Stakeholders’ Voinov and Bousquet, 2010 which demonstrated the importance of, and demand for, stakeholder participation in resource and environmental modelling. This position paper returns to the concepts of that publication and reviews the progress made since 2010. A new development is the wide introduction and acceptance of social media and web applications, which dramatically changes the context and scale of stakeholder interactions and participation. Technology advances make it easier to incorporate information in interactive formats via visualization and games to augment participatory experiences. Citizens as stakeholders are increasingly demanding to be engaged in planning decisions that affect them and their communities, at scales from local to global. How people interact with and access models and data is rapidly evolving. In turn, this requires changes in how models are built, packaged, and disseminated: citizens are less in awe of experts and external authorities, and they are increasingly aware of their own capabilities to provide inputs to planning processes, including models. The continued acceleration of environmental degradation and natural resource depletion accompanies these societal changes, even as there is a growing acceptance of the need to transition to alternative, possibly very different, life styles. Substantive transitions cannot occur without significant changes in human behaviour and perceptions. The important and diverse roles that models can play in guiding human behaviour, and in disseminating and increasing societal knowledge, are a feature of stakeholder processes today.

  17. 49 CFR 633.27 - Implementation of a project management plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Implementation of a project management plan. 633... TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROJECT MANAGEMENT OVERSIGHT Project Management Plans § 633.27 Implementation of a project management plan. (a) Upon approval of a project management plan by...

  18. 49 CFR 633.27 - Implementation of a project management plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 7 2011-10-01 2011-10-01 false Implementation of a project management plan. 633... TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROJECT MANAGEMENT OVERSIGHT Project Management Plans § 633.27 Implementation of a project management plan. (a) Upon approval of a project management plan by...

  19. 49 CFR 633.27 - Implementation of a project management plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 7 2012-10-01 2012-10-01 false Implementation of a project management plan. 633... TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROJECT MANAGEMENT OVERSIGHT Project Management Plans § 633.27 Implementation of a project management plan. (a) Upon approval of a project management plan by...

  20. 49 CFR 633.27 - Implementation of a project management plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Implementation of a project management plan. 633... TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROJECT MANAGEMENT OVERSIGHT Project Management Plans § 633.27 Implementation of a project management plan. (a) Upon approval of a project management plan by...

  1. 49 CFR 633.27 - Implementation of a project management plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 7 2013-10-01 2013-10-01 false Implementation of a project management plan. 633... TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROJECT MANAGEMENT OVERSIGHT Project Management Plans § 633.27 Implementation of a project management plan. (a) Upon approval of a project management plan by...

  2. Transition from School to Post-School Life for Individuals with Disabilities

    ERIC Educational Resources Information Center

    Levinson, Edward M.

    2004-01-01

    This book is designed to assist professionals in developing and implementing transition services for students with disabilities. Specifically, this book focuses on the importance of assessment in transition planning and targets the various domains that should be included in any school-to-work transition assessment. The book advocates a…

  3. Use of Transition Resources by Primary Care Providers for Youth with Intellectual and Developmental Disabilities

    ERIC Educational Resources Information Center

    Dressler, Paul B.; Nguyen, Teresa K.; Moody, Eric J.; Friedman, Sandra L.; Pickler, Laura

    2018-01-01

    Youth with intellectual and developmental disabilities (IDD) often experience difficulties with successful transition from pediatric to adult healthcare. A consultative Transition Clinic for youth with IDD was piloted as a quality improvement project, and assessed the engagement of primary care providers (PCPs) for transition planning after…

  4. Transition Services for Youths Who Are Deaf-Blind: A "Best Practices" Guide for Educators.

    ERIC Educational Resources Information Center

    Everson, Jane M., Ed.

    This collection of 10 papers addresses "best practices" in the development of transition services for youths who are deaf-blind. The papers include quality indicators checklists, transition planning checklists, and other assessment tools. The papers have the following titles and authors: "Overview of Transition Services for Youths Who Are…

  5. Effects of the Self-Directed Individualized Education Program on Self-Determination and Transition of Adolescents with Disabilities

    ERIC Educational Resources Information Center

    Seong, Youjin; Wehmeyer, Michael L.; Palmer, Susan B.; Little, Todd D.

    2015-01-01

    The 1990 Individuals with Disabilities Education Act (IDEA) reauthorization introduced transition mandates that included a "student involvement in transition planning" requirement, creating an emphasis on promoting such involvement so as to enhance the self-determination of students with disabilities and positive transition-related…

  6. Using Daily Transition Strategies to Support All Children

    ERIC Educational Resources Information Center

    Thelen, Peggy; Klifman, Tammy

    2011-01-01

    Transitions in early childhood classrooms are changes from one activity to another or from one place to another. Well-planned transitions can be positive learning experiences for children. During transitions children can sing songs, follow a leader by copying his or her physical motions, practice counting, or even recite a favorite poem or nursery…

  7. Transition: Preschool to Kindergarten

    ERIC Educational Resources Information Center

    Arizona Department of Education, 2007

    2007-01-01

    Transition is movement or change without interruption. It should be a smooth flow from one place or condition to another. While the transition plan for a student receiving special education services is designed to prepare him or her for life after high school, transition can start when a child enters preschool. The second of six distinct stages of…

  8. Planning for Obsolescence.

    ERIC Educational Resources Information Center

    Malinconico, S. Michael

    1984-01-01

    Discusses planning for the implementation of a high technology system which includes plans for how it will be phased out and an orderly transition made to its successor. System life expectations, user pressures, software modifications, commercial vendors, integrated systems, eroding economies, and replacement planning are highlighted. (EJS)

  9. 30. Oakland Port and General Depot. Transit Shed No. 7, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    30. Oakland Port and General Depot. Transit Shed No. 7, 936 feet, Building 161 PLOT PLAN & TRANSVERSE SECTION. Sheet 1 of 16 - Oakland Army Base, Transit Shed, East of Dunkirk Street & South of Burma Road, Oakland, Alameda County, CA

  10. Parker River National Wildlife Refuge transit planning study.

    DOT National Transportation Integrated Search

    2011-07-01

    The Volpe Center studied the feasibility of the use of a transit vehicle for programs and special events at the Parker River National Wildlife Refuge in Newburyport, Massachusetts. The study defines the need for a transit vehicle, potential uses for ...

  11. Connecticut Transit (CTTRANSIT) Fuel Cell Transit Bus Preliminary Evaluation Results

    DOT National Transportation Integrated Search

    2008-10-16

    This report describes operations at Connecticut Transit (CTTRANSIT) in Hartford for one prototype fuel cell bus and three new diesel buses operating from the same location. The report discusses the planned fuel cell bus demonstration and equipment us...

  12. Transitions: A Guide to Teens Getting Older and Changing Health Care Providers

    MedlinePlus

    ... Transitions: A Guide to Getting Older and Changing Health Care Providers (HCP’s) Posted under Health Guides . Updated 11 ... can help me plan my transition to adult health care? Your pediatrician or other health care provider Your ...

  13. Discharge planning in mental health care: an integrative review of the literature.

    PubMed

    Nurjannah, Intansari; Mills, Jane; Usher, Kim; Park, Tanya

    2014-05-01

    To identify the evidence base related to discharge planning in the context of acute and community mental healthcare service provision to ascertain the need for future research. Discharge planning is an important activity when preparing consumers to transition from hospital to home. The efficiency of discharge planning for consumers living with a mental health issue can influence both the number of future readmissions to acute-care facilities and their quality of life at home. An integrative review of the peer-reviewed literature. This review uses specific search terms and a 21-year time frame to search two key nursing databases CINAHL (Cinahl Information Systems, Glendale, CA, USA) and PSYCHINFO (American Psychological Association, Washington, DC, USA) for research reports investigating the substantive area of enquiry. Hand searches of reference lists and author searches were also conducted. Nineteen peer-reviewed journal articles met the inclusion criteria for this review. Research findings about discharge planning for people living with a mental health issue identify the importance of communication between health professionals, consumers and their families to maximise the effectiveness of this process. The complexity of consumer's healthcare needs influences the discharge planning process and impacts on aftercare compliance and readmission rates. There is a limited amount of research findings relating to differences between health professionals and families' perceptions of the level of information required for effective discharge planning, and the appropriate level of involvement of individuals living with a mental health issue in their own discharge planning. Results from this integrative review will inform future research related to this topic. Discharge planning for consumers living with a mental health issue involves many stakeholders who have different expectations regarding the type of information required and the necessary level of involvement of people living with a mental health issue in this process. Comprehensive discharge planning can result in reduced readmissions to both acute and community mental health services. Understanding the impact of effective communication on the outcomes of discharge planning is an important step in promoting success. © 2013 John Wiley & Sons Ltd.

  14. Commerce Lab - An enabling facility and test bed for commercial flight opportunities

    NASA Technical Reports Server (NTRS)

    Robertson, Jack; Atkins, Harry L.; Williams, John R.

    1986-01-01

    Commerce Lab is conceived as an adjunct to the National Space Transportation System (NSTS) by providing a focal point for commercial missions which could utilize existing NSTS carrier and resource capabilities for on-orbit experimentation in the microgravity sciences. In this context, the Commerce Lab provides an enabling facility and test bed for commercial flight opportunities. Commerce Lab program activities to date have focused on mission planning for private sector involvement in the space program to facilitate the commercial exploitation of the microgravity environment for materials processing research and development. It is expected that Commerce Lab will provide a logical transition between currently planned NSTS missions and future microgravity science and commercial R&D missions centered around the Space Station. The present study identifies candidate Commerce Lab flight experiments and their development status and projects a mission traffic model that can be used in commercial mission planning.

  15. Analysis of sheltering and evacuation strategies for a national capital region nuclear detonation scenario.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yoshimura, Ann S.; Brandt, Larry D.

    2011-12-01

    Development of an effective strategy for shelter and evacuation is among the most important planning tasks in preparation for response to a low yield, nuclear detonation in an urban area. Extensive studies have been performed and guidance published that highlight the key principles for saving lives following such an event. However, region-specific data are important in the planning process as well. This study examines some of the unique regional factors that impact planning for a 10 kT detonation in the National Capital Region. The work utilizes a single scenario to examine regional impacts as well as the shelter-evacuate decision alternativesmore » at one exemplary point. For most Washington, DC neighborhoods, the excellent assessed shelter quality available make shelter-in-place or selective transit to a nearby shelter a compelling post-detonation strategy.« less

  16. 49 CFR 659.25 - Annual review of system safety program plan and system security plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... system security plan. 659.25 Section 659.25 Transportation Other Regulations Relating to Transportation... and system security plan. (a) The oversight agency shall require the rail transit agency to conduct an annual review of its system safety program plan and system security plan. (b) In the event the rail...

  17. Electrophysiological correlates reflect the integration of model-based and model-free decision information.

    PubMed

    Eppinger, Ben; Walter, Maik; Li, Shu-Chen

    2017-04-01

    In this study, we investigated the interplay of habitual (model-free) and goal-directed (model-based) decision processes by using a two-stage Markov decision task in combination with event-related potentials (ERPs) and computational modeling. To manipulate the demands on model-based decision making, we applied two experimental conditions with different probabilities of transitioning from the first to the second stage of the task. As we expected, when the stage transitions were more predictable, participants showed greater model-based (planning) behavior. Consistent with this result, we found that stimulus-evoked parietal (P300) activity at the second stage of the task increased with the predictability of the state transitions. However, the parietal activity also reflected model-free information about the expected values of the stimuli, indicating that at this stage of the task both types of information are integrated to guide decision making. Outcome-related ERP components only reflected reward-related processes: Specifically, a medial prefrontal ERP component (the feedback-related negativity) was sensitive to negative outcomes, whereas a component that is elicited by reward (the feedback-related positivity) increased as a function of positive prediction errors. Taken together, our data indicate that stimulus-locked parietal activity reflects the integration of model-based and model-free information during decision making, whereas feedback-related medial prefrontal signals primarily reflect reward-related decision processes.

  18. Morristown National Historical Park (NHP) alternative transportation system planning study

    DOT National Transportation Integrated Search

    2001-12-01

    This alternative transportation plan aims to define a more efficient transit plan for visitors to Morristown. Goals include protecting environmental resources, improving visitor experiences and safety, maximizing use of infrastructure, ensuring compa...

  19. Assessing the comparative efficiency of urban mass transit systems in Ohio : longitudinal analysis.

    DOT National Transportation Integrated Search

    2013-12-01

    A mass transit system not only improves passenger mobility, it also affects the level of economic activities (e.g., working and shopping). Thus, changes wrought by mass transit service planning can heavily influence regional economic growth. This pla...

  20. Rural Transition Strategies That Work.

    ERIC Educational Resources Information Center

    Schwartz, Phebe

    Successful rural transition strategies which assist disabled rural secondary students in the transition from school to employment and community integration are described. Effective programs and specific strategies touch on such topic areas as job/career exploration, on-site job exploration, career planning, prevocational training, transition…

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